DERIKA LACOLE PRUITT

MOBILE, AL
NPI1225867732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: MD  31987)
Additional Taxonomies104100000X Social Worker
(Licence: IL  150.113203)
104100000X Social Worker
(Licence: WA  SC61508936)
104100000X Social Worker
(Licence: AL  6548G)
Enumeration Date2024-08-01
Last Update Date2024-08-01
Business Address
DERIKA LACOLE PRUITT
2153 HEIGHT ST
MOBILE, AL 36605-5160
Phone number: 251-414-0731
Mailing Address
DERIKA LACOLE PRUITT
2153 HEIGHT ST
MOBILE, AL 36605-5160
Phone number: 251-414-0731