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1427625664
AMANDA M. PRUETT
FORT WORTH, TX
NPI
1427625664
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 15784)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
AMANDA M. PRUETT LCDC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
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Mailing Address
AMANDA M. PRUETT LCDC
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300
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