Individual
KIMBERLY PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1615 BEL RIPOSO LN, LEAGUE CITY, TX 77573-4797
(281) 757-2176
Mailing address
1615 BEL RIPOSO LANE, LEAGUE CITY, TX 77573
(281) 757-2176
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202663
TX
Other
Enumeration date
01/11/2016
Last updated
09/10/2021
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