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Individual

JESSICA PRUETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
141 N MAIN ST, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
Mailing address
1008 LEATHERSTONE LN, FUQUAY VARINA, NC 27526-3750

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11369
NC

Other

Enumeration date
02/26/2015
Last updated
10/02/2025
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