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1750987749
SAMANTHA ANN PRUITT-JOHNSON
ST LOUIS PARK, MN
NPI
1750987749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-12-07
Last Update Date
2022-06-29
Business Address
SAMANTHA ANN PRUITT-JOHNSON
3800 PARK NICOLLET BLVD
ST LOUIS PARK, MN 55416-2527
Phone number: 952-993-2498
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Mailing Address
SAMANTHA ANN PRUITT-JOHNSON
8170 33RD AVE S # MS 21110Q
BLOOMINGTON, MN 55425-4516
Phone number:
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