KELLY SHEPPARD PRUITT

WINSTON SALEM, NC
NPI1962172916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: NC  12644)
Enumeration Date2021-09-20
Last Update Date2021-09-20
Business Address
MRS. KELLY SHEPPARD PRUITT LCMHC
1255 CREEKSHIRE WAY STE 270
WINSTON SALEM, NC 27103-3061
Phone number: 336-283-4757
Mailing Address
MRS. KELLY SHEPPARD PRUITT LCMHC
709 TRILLIUM LN
WINSTON SALEM, NC 27127-6072
Phone number:
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