Individual
SEPTEMBER AURORA PRUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13782 BLUESTEM CT STE 100, BAXTER, MN 56425-8768
(218) 833-9107
Mailing address
23684 COUNTY ROAD 4 # CABIN5, NISSWA, MN 56468-2230
(218) 838-2043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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