LEVI PRUITT

Counselor

Active Individual
NPI: 1902377468

Practice Address

661 ADDISON DR
Wynne, AR 72396

Phone: (870) 238-1135

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes -

Frequently Asked Questions

NPI 1902377468 is the National Provider Identifier for LEVI PRUITT, a Counselor provider located in Wynne, AR. This NPI was enumerated on December 10, 2018.
LEVI PRUITT practices at 661 ADDISON DR, Wynne, AR 72396.

Quick Facts

NPI
1902377468
Type
Individual
Enumerated
Dec 10, 2018
Last Updated
Dec 10, 2018

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