Individual
RICHARD LAVERNE PRUZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
221 W MADISON STREET, EAU CLAIRE, WI 54703
(715) 832-5454
(715) 832-2991
Mailing address
221 W MADISON STREET, EAU CLAIRE, WI 54703
(715) 832-5454
(715) 832-2991
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
58
WI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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