Ashley Pruitt
NPI #1194579078 in Springfield, Illinois
Provider Information
- NPI Number
- 1194579078
- Entity Type
- Individual
- Name
- Ashley Pruitt
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Apr 16, 2024
- Last Updated
- Apr 16, 2024
Practice Location
- Address
- 1630 S STATE ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-3682
- Phone
- (217) 528-3694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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