NICOLE PRUST, LMSW
Social Worker - Clinical
Active
Individual
NPI: 1902317019
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Social Worker | 104100000X | No | 6801101923 (MI) |
| Social Worker - Clinical | 1041C0700X | Yes | 6801110599 (MI) |
Frequently Asked Questions
NPI 1902317019 is the National Provider Identifier for NICOLE PRUST, LMSW, a Social Worker - Clinical provider located in Wakefield, MI. This NPI was enumerated on October 16, 2017.
NICOLE PRUST, LMSW practices at 103 W US HIGHWAY 2, Wakefield, MI 49968.
Quick Facts
- NPI
- 1902317019
- Type
- Individual
- Enumerated
- Oct 16, 2017
- Last Updated
- Jul 26, 2021
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