Mary Louise Pruitt CAS

NPI 1619112901 - Counselor - 101YA0400X

NPI Details
NPI 1619112901
Gender Female
Enumeration Date 12/16/2008
Last Updated 03/30/2016
Entity Type Individual
Active Over 7 years ago
Practice Location
2143 HURLEY WAY STE 250
SACRAMENTO CA, 95825-3299, US
Phone (916) 922-9217
Fax
Business Location
2143 HURLEY WAY STE 250
SACRAMENTO CA, 95825-3299, US
Phone (916) 922-9217
Fax
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 03043920
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According to our database, Mary Louise Pruitt CAS NPI is 1619112901, taxonomy code is 101YA0400X and license number is 03043920, license state is located at California. Mary Louise Pruitt CAS physically located at 2143 Hurley Way Ste 250, Sacramento CA, 95825-3299. NPI Number Mary Louise Pruitt CAS has the Individual type.

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1619112901 NPI number is provided on an as is basis without warranty of any kind. 1619112901 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Louise Pruitt CAS are for informational purposes only.