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1962172916
KELLY SHEPPARD PRUITT
WINSTON SALEM, NC
NPI
1962172916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 12644)
Enumeration Date
2021-09-20
Last Update Date
2021-09-20
Business Address
Mrs. KELLY SHEPPARD PRUITT LCMHC
1255 CREEKSHIRE WAY STE 270
WINSTON SALEM, NC 27103-3061
Phone number: 336-283-4757
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Mailing Address
Mrs. KELLY SHEPPARD PRUITT LCMHC
709 TRILLIUM LN
WINSTON SALEM, NC 27127-6072
Phone number:
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