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1154743235
SHANEKWA MARIE PRUITT
SAN DIEGO, CA
NPI
1154743235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 71749)
Enumeration Date
2014-01-09
Last Update Date
2014-01-09
Business Address
Mrs. SHANEKWA MARIE PRUITT
2351 CARDINAL LN ANNEX B
SAN DIEGO, CA 92123-3743
Phone number: 858-573-2227
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Mailing Address
Mrs. SHANEKWA MARIE PRUITT
2351 CARDINAL LN ANNEX B
SAN DIEGO, CA 92123-3743
Phone number: 858-573-2227
Copy
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