DERRICK PRUITT

NEW ORLEANS, LA
NPI1801268644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-10-20
Last Update Date2019-03-27
Business Address
DERRICK PRUITT B.S Psychology
701 LOYOLA AVE STE 106
NEW ORLEANS, LA 70113-1912
Phone number: 504-558-9595
Mailing Address
DERRICK PRUITT B.S Psychology
PO BOX 50140
NEW ORLEANS, LA 70150-0140
Phone number: 504-558-9595
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