Individual
KAYLA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 ROUTE 73 N STE 1, MARLTON, NJ 08053-3456
(856) 375-2914
Mailing address
199 CHESTNUT ST, MOORESTOWN, NJ 08057-2936
(856) 296-0046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TL-3522
NJ
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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