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Individual

PATRICIA B PRUSAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
555 N PLYMOUTH AVE, ROCHESTER, NY 14608-1628
(585) 325-2255
(585) 935-7405
Mailing address
144 MILL RD, ROCHESTER, NY 14626-4807
(585) 225-8455

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
059333-1
NY

Other

Enumeration date
10/10/2011
Last updated
10/10/2011
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