Jennifer Marie Prouty, MSW

NPI #1134619596 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1134619596
Entity Type: Individual
Name: Jennifer Marie Prouty, MSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: MSW
Enumeration Date: May 11, 2018
Last Updated: Nov 14, 2018

Practice Location

Address: 4500 N LEWIS AVE
City: Sioux Falls
State: South Dakota
ZIP Code: 57104-7111
Phone: (605) 322-2093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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