Nicole Pruett

NPI #1508236712 in Glassboro, New Jersey

Provider Information

NPI Number: 1508236712
Entity Type: Individual
Name: Nicole Pruett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 30, 2015
Last Updated: Sep 30, 2015

Practice Location

Address: 42 S DELSEA DRIVE
City: Glassboro
State: New Jersey
ZIP Code: 08028
Phone: (856) 863-0006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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