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1760702781
JANA PRUETT
KENNESAW, GA
NPI
1760702781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004206)
Enumeration Date
2010-06-02
Last Update Date
2010-06-02
Business Address
-- JANA PRUETT LCSW
1050 SHILOH RD NW SUITE 316
KENNESAW, GA 30144-7194
Phone number: 678-213-2194
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Mailing Address
-- JANA PRUETT LCSW
212 REINHARDT ST SE
ATLANTA, GA 30312-2318
Phone number: 404-502-7660
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