CARL PRUITT

INDIANAPOLIS, IN
NPI1942302641
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IN  34003308A)
Enumeration Date2006-09-02
Last Update Date2007-07-08
Business Address
Mr. CARL PRUITT
3016 LAKE SHORE DR
INDIANAPOLIS, IN 46205-2324
Phone number: 317-253-7387
Mailing Address
Mr. CARL PRUITT
PO BOX 55107
INDIANAPOLIS, IN 46205-0107
Phone number: 317-253-7387