Individual
BERNADETTE J PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
8116 HARFORD RD STE B, PARKVILLE, MD 21234-5761
(410) 779-9175
Mailing address
911 MARTIN RD, ESSEX, MD 21221-5206
(443) 909-9640
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11807
MD
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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