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1962948687
JENNIFER HAINES-PRUITT
LITHIA SPRINGS, GA
NPI
1962948687
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: GA LPC007776)
Enumeration Date
2017-01-19
Last Update Date
2018-09-14
Business Address
JENNIFER HAINES-PRUITT LPC
561 THORNTON RD STE R
LITHIA SPRINGS, GA 30122-1558
Phone number: 678-653-6314
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Mailing Address
JENNIFER HAINES-PRUITT LPC
5463 STONEYBROOK CT SE
MABLETON, GA 30126-5625
Phone number: 937-681-5630
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