Leah Prussia, LICSW

NPI #1912187923 in Wadena, Minnesota

Provider Information

NPI Number: 1912187923
Entity Type: Individual
Name: Leah Prussia, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Nov 7, 2007
Last Updated: Nov 7, 2007

Practice Location

Address: 11 2ND ST SW
Address 2: SUITE 1
City: Wadena
State: Minnesota
ZIP Code: 56482-1417
Phone: (218) 631-1714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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