Individual
JENNIFER NICOLE PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2828 1ST AVE, HUNTINGTON, WV 25702-1236
(304) 526-1300
Mailing address
215 FOREST VIEW DR, HUNTINGTON, WV 25705-2340
(304) 887-0950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007
WV
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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