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1720654023
MITCHELL PRUETT
DALLAS, TX
NPI
1720654023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 116202)
Enumeration Date
2021-05-28
Last Update Date
2021-05-28
Business Address
MITCHELL PRUETT CCC-SLP
14651 DALLAS PKWY STE 200
DALLAS, TX 75254-8856
Phone number: 866-919-3240
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Mailing Address
MITCHELL PRUETT CCC-SLP
2625 EMPIRE DR APT 3225
RICHARDSON, TX 75080-0068
Phone number: 785-577-4120
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