Levi David Pruitt

NPI #1902377468 in Wynne, Arkansas

Provider Information

NPI Number: 1902377468
Entity Type: Individual
Name: Levi David Pruitt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Dec 10, 2018
Last Updated: Dec 10, 2018

Practice Location

Address: 661 ADDISON DR
City: Wynne
State: Arkansas
ZIP Code: 72396-1602
Phone: (870) 238-1135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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