Jennie Pruitt

NPI #1720349327 in Westville, Oklahoma

Provider Information

NPI Number: 1720349327
Entity Type: Individual
Name: Jennie Pruitt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 31, 2012
Last Updated: Aug 21, 2018

Practice Location

Address: 747 HIGHWAY 59 STE 4
City: Westville
State: Oklahoma
ZIP Code: 74965
Phone: (479) 220-9857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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