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1740858943
VANESSA PRUITT
GRAND ISLAND, NE
NPI
1740858943
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NE 12640)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
VANESSA PRUITT PLMHP
312 N ELM ST STE 112
GRAND ISLAND, NE 68801-4509
Phone number: 308-210-8487
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Mailing Address
VANESSA PRUITT PLMHP
2803 S EMPORIA ST APT 1416
WICHITA, KS 67216-4730
Phone number: 402-984-5467
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