Individual
CARMEN LEE PRUETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
5146 DAVISON RD, BURTON, MI 48509-1515
(810) 513-0980
Mailing address
5146 DAVISON RD, BURTON, MI 48509-1515
(810) 513-0980
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MI
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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