TIFFANY ANN PRUITT

NEVADA, MO
NPI1174180012
Former NameTIFFANY ANN PRICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MO  2021004780)
Enumeration Date2019-05-27
Last Update Date2021-02-10
Business Address
TIFFANY ANN PRUITT LCSW
210 S ELM ST
NEVADA, MO 64772-3413
Phone number: 417-684-2644
Mailing Address
TIFFANY ANN PRUITT LCSW
1107 BROADWAY ST
LAMAR, MO 64759-1758
Phone number: 417-682-5757