Individual
ANGELA GAYLE PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1711 BLUE DANUBE ST, 1101, ARLINGTON, TX 76015-3190
(817) 235-1540
Mailing address
1711 BLUE DANUBE ST, 1101, ARLINGTON, TX 76015-3190
(817) 235-1540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61157
TX
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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