Individual
GEORGES W PROSPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 RAVOUX RD, CHASKA, MN 55318-1328
(256) 755-1582
Mailing address
700 RAVOUX RD, CHASKA, MN 55318-1328
(256) 755-1582
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114615
IA
Other
Enumeration date
08/03/2022
Last updated
01/07/2026
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