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1023566080
ELIZABETH PRUITT
SHREVEPORT, LA
NPI
1023566080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-19
Last Update Date
2022-06-03
Business Address
ELIZABETH PRUITT M.Ed
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
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Mailing Address
ELIZABETH PRUITT M.Ed
PO BOX 29372
SHREVEPORT, LA 71149-9372
Phone number: 318-670-8898
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