Zaria Pruitt

NPI #1629795703 in Grayson, Kentucky

Provider Information

NPI Number: 1629795703
Entity Type: Individual
Name: Zaria Pruitt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 20, 2022
Last Updated: Oct 20, 2022

Practice Location

Address: 840 INTERSTATE DR
City: Grayson
State: Kentucky
ZIP Code: 41143-1768
Phone: (606) 474-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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