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1942302641
CARL PRUITT
INDIANAPOLIS, IN
NPI
1942302641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34003308A)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
Mr. CARL PRUITT
3016 LAKE SHORE DR
INDIANAPOLIS, IN 46205-2324
Phone number: 317-253-7387
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Mailing Address
Mr. CARL PRUITT
PO BOX 55107
INDIANAPOLIS, IN 46205-0107
Phone number: 317-253-7387
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