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Individual

VERA PRUITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
211 E G L SMITH ST, MORGANTOWN, KY 42261-9413
(270) 901-5000
(270) 842-6553
Mailing address
188 CROCKETT ST, BOWLING GREEN, KY 42101-7506
(270) 901-5000
(270) 842-5268

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0151
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30604011
KY
Enumeration date
08/30/2006
Last updated
04/03/2008
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