Individual
MS. MARY JO PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3001 SCENIC HIGHWAY, GADSDEN, AL 35904-3047
(256) 546-9265
(256) 549-0376
Mailing address
3001 SCENIC HIGHWAY, GADSDEN, AL 35904-3047
(256) 546-9265
(256) 549-0376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2026C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2026C
SOCIAL WORK LICENSE
AL
Enumeration date
10/26/2006
Last updated
03/13/2008
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