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1205132214
CANDACE PRUITT
LOUISVILLE, KY
NPI
1205132214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY 1070)
Enumeration Date
2011-02-09
Last Update Date
2011-02-09
Business Address
-- CANDACE PRUITT
600 S PRESTON ST
LOUISVILLE, KY 40202-1716
Phone number: 502-589-8600
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Mailing Address
-- CANDACE PRUITT
101 W MUHAMMAD ALI BLVD
LOUISVILLE, KY 40202-1423
Phone number:
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