ERNEST PRUITT

MILWAUKEE, WI
NPI1174803506
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  16054-130)
Enumeration Date2011-08-17
Last Update Date2011-08-17
Business Address
Mr. ERNEST PRUITT BA,SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
Mailing Address
Mr. ERNEST PRUITT BA,SAC-IT
3707 N RICHARDS ST
MILWAUKEE, WI 53212-1673
Phone number: 414-967-7006
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