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1174180012
TIFFANY ANN PRUITT
NEVADA, MO
NPI
1174180012
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Former Name
TIFFANY ANN PRICE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2021004780)
Enumeration Date
2019-05-27
Last Update Date
2021-02-10
Business Address
TIFFANY ANN PRUITT LCSW
210 S ELM ST
NEVADA, MO 64772-3413
Phone number: 417-684-2644
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Mailing Address
TIFFANY ANN PRUITT LCSW
1107 BROADWAY ST
LAMAR, MO 64759-1758
Phone number: 417-682-5757
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