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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MARIE PRUST, LMSW

Active Sole Proprietor

Clinical Social Worker · WAKEFIELD, MI

Registration Details

NPI Number
1902317019
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2017 (8.5540598575009 yrs)
Last Updated
Jul 26, 2021
Licenses
6801101923 (MI)
6801110599 (MI)
Sole Proprietor
Yes

Practice Information

Address
103 W US HIGHWAY 2
WAKEFIELD, MI, 499689515
Browse MI providers · Browse ZIP 49968
Phone
9062296120
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in WAKEFIELD, MI

Name Credential NPI
MR. WILLIAM SMITH MALLOY JR. MSW 1508925884
MS. TARA MARIE MILLER 1851590293
AMY MARIE SAARNIO WYKA MSW, LCSW 1073750774
MRS. COLLEEN PATRICIA BUZZO LMSW 1326308800
WENDY SUZANNE KRALL-TIBALDO LMSW 1356786057
JENNA FINGEROOS 1396359048
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.