Individual
DENNIS M PRUITT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 THOMAS ST, ATOKA, TN 38004-7172
(901) 900-0281
Mailing address
390 THOMAS ST, ATOKA, TN 38004-7172
(901) 900-0281
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
183700000X
Pharmacy Technician
—
—
376G00000X
Nursing Home Administrator
4492
TN
Other
Enumeration date
08/13/2025
Last updated
10/11/2025
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