Individual
ALYSSA MARIA PROHASKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1112 MOBILE ST, WATERLOO, IA 50703-3238
(319) 290-6001
Mailing address
5617 ROCHELLE DR, WATERLOO, IA 50701-9562
(319) 290-6001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW30669
CA
104100000X
Social Worker
Primary
007222
IA
Other
Enumeration date
11/11/2008
Last updated
07/05/2016
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