MR. John Robert Pruett, LCSW

NPI #1225661945 in Hannibal, Missouri

Provider Information

NPI Number
1225661945
Entity Type
Individual
Name
MR. John Robert Pruett, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Feb 20, 2020
Last Updated
Feb 20, 2020

Practice Location

Address
146 COMMUNICATION DR
ZIP Code
63401-3672
Phone
(573) 248-1196

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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