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Individual

STEVEN R PRUETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4985 SEARLS DR NW, NORTH CANTON, OH 44720-7464
(330) 966-0922
Mailing address
334 WINDEMERE DR, WESTERVILLE, OH 43082-6321
(614) 668-2588

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6628
OH

Other

Enumeration date
09/04/2012
Last updated
09/04/2012
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