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1942969522
JONATHAN DANIEL PRUITT
DALLAS, TX
NPI
1942969522
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2021-12-10
Last Update Date
2021-12-10
Business Address
JONATHAN DANIEL PRUITT MS, LPC, LCDC, NCC
17210 CAMPBELL RD STE 175
DALLAS, TX 75252-4201
Phone number: 325-338-0855
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Mailing Address
JONATHAN DANIEL PRUITT MS, LPC, LCDC, NCC
3109 DOUGLAS AVE APT 313
DALLAS, TX 75219-3542
Phone number: 325-338-0855
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