Individual
DR. WAYNE NORMAN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN.
Contact information
Practice address
93 WOLCOTT RD, CHESTNUT HILL, MA 02467-3108
(617) 566-3254
Mailing address
93 WOLCOTT RD, CHESTNUT HILL, MA 02467-3108
(617) 566-3254
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MH 1030-MF
MA
Other
Enumeration date
03/12/2008
Last updated
03/17/2008
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