BETHANY PRUITT

FORT WAYNE, IN
NPI1699241620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34008242A)
Enumeration Date2018-10-17
Last Update Date2018-10-17
Business Address
BETHANY PRUITT MSW, LCSW
3142 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number: 260-409-7073
Mailing Address
BETHANY PRUITT MSW, LCSW
3142 MALLARD COVE LN
FORT WAYNE, IN 46804-2882
Phone number:
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