MIGNON PRUITT

CHICAGO, IL
NPI1578019204
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IL  149006136)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IL  149006136)
101YM0800X Counselor, Mental Health
(Licence: IL  149006136)
Enumeration Date2016-09-01
Last Update Date2016-09-11
Business Address
-- MIGNON PRUITT
741 EAST 75TH STREET
CHICAGO, IL 60619-1928
Phone number: 773-891-3242
Mailing Address
-- MIGNON PRUITT
17125 BERNADINE STREET
LANSING, IL 60438-1473
Phone number: 773-671-1389