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1508012055
CONNIE O PRUITT
MERIDIAN, MS
NPI
1508012055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MS 1618)
Enumeration Date
2008-08-15
Last Update Date
2008-08-15
Business Address
-- CONNIE O PRUITT
1415 COLLEGE DR
MERIDIAN, MS 39307-5345
Phone number: 601-483-4821
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Mailing Address
-- CONNIE O PRUITT
1415 COLLEGE DR
MERIDIAN, MS 39307-5345
Phone number: 601-483-4821
Copy
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