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1861136103
CORRINE PATRICIA PRUITT
MINNETONKA, MN
NPI
1861136103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN 27009)
Enumeration Date
2022-04-22
Last Update Date
2022-05-25
Business Address
CORRINE PATRICIA PRUITT LICSW
13100 WAYZATA BLVD STE 200
MINNETONKA, MN 55305-1810
Phone number: 952-206-2040
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Mailing Address
CORRINE PATRICIA PRUITT LICSW
2250 PLYMOUTH RD APT 307
HOPKINS, MN 55305-2351
Phone number: 763-229-9234
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