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1053385187
MARY LOUISE PRUETT
COLUMBUS, IN
NPI
1053385187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34004128)
Enumeration Date
2006-02-15
Last Update Date
2018-07-25
Business Address
MARY LOUISE PRUETT LCSW
720 N MARR RD
COLUMBUS, IN 47201
Phone number: 812-314-3400
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Mailing Address
MARY LOUISE PRUETT LCSW
645 S ROGERS ST
BLOOMINGTON, IN 47403-2353
Phone number:
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