Individual
CARRIE PRUSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15316 HUEBNER RD STE 202, MORRISTOWN ST., SAN ANTONIO, TX 78248-0994
(210) 614-4567
Mailing address
9327 GRAND CEDAR, HELOTES, TX 78023-4459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
105512
TX
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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