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1225661945
JOHN ROBERT PRUETT
HANNIBAL, MO
NPI
1225661945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2009003215)
Enumeration Date
2020-02-20
Last Update Date
2020-02-20
Business Address
Mr. JOHN ROBERT PRUETT LCSW
146 COMMUNICATION DR
HANNIBAL, MO 63401-3672
Phone number: 573-248-1196
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Mailing Address
Mr. JOHN ROBERT PRUETT LCSW
146 COMMUNICATION DR
HANNIBAL, MO 63401-3672
Phone number:
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