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1194579078
ASHLEY PRUITT
SPRINGFIELD, IL
NPI
1194579078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IL 178018417)
Enumeration Date
2024-04-16
Last Update Date
2024-04-16
Business Address
ASHLEY PRUITT
1630 S STATE ST
SPRINGFIELD, IL 62704-3682
Phone number: 217-528-3694
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Mailing Address
ASHLEY PRUITT
617 W WOODLAND AVE
SPRINGFIELD, IL 62704-2834
Phone number:
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