LEVI DAVID PRUITT

WYNNE, AR
NPI1902377468
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-12-10
Last Update Date2018-12-10
Business Address
LEVI DAVID PRUITT
661 ADDISON DR
WYNNE, AR 72396-1602
Phone number: 870-238-1135
Mailing Address
LEVI DAVID PRUITT
2707 BROWNS LN
JONESBORO, AR 72401-7213
Phone number: 870-972-4939