Tiffany Ann Pruitt, LCSW

NPI #1174180012 in Nevada, Missouri

Provider Information

NPI Number
1174180012
Entity Type
Individual
Name
Tiffany Ann Pruitt, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 27, 2019
Last Updated
Feb 10, 2021

Practice Location

Address
210 S ELM ST
City
Nevada
ZIP Code
64772-3413
Phone
(417) 684-2644

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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