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1952420796
JEAN F PRUETT
WINSTON SALEM, NC
NPI
1952420796
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 4663)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
-- JEAN F PRUETT LPC
3734 REYNOLDA RD
WINSTON SALEM, NC 27106-2240
Phone number: 336-922-1102
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Mailing Address
-- JEAN F PRUETT LPC
PO BOX 30279
WINSTON SALEM, NC 27130-0279
Phone number: 336-922-1102
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