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Individual

ARTHUR PRUITT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
40096 28TH AVE, GOBLES, MI 49055-8614
(269) 568-0255
Mailing address
625 HARRISON ST, KALAMAZOO, MI 49007-3681
(269) 323-1954

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6401015027
MI

Other

Enumeration date
12/16/2015
Last updated
12/16/2015
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