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1659412260
COTELIA P PRUITT
SAN FRANCISCO, CA
NPI
1659412260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-08
Last Update Date
2007-07-08
Business Address
-- COTELIA P PRUITT
1175 HOWARD ST
SAN FRANCISCO, CA 94103-3926
Phone number: 415-864-3057
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Mailing Address
-- COTELIA P PRUITT
3400 RICHMOND PKWY APT. 3819
RICHMOND, CA 94806-5207
Phone number: 510-565-9770
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