Individual
MRS. CARLA-MARIE AGEE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
245 HAIRSTON ST, DANVILLE, VA 24540-4137
(434) 799-0456
(434) 799-3100
Mailing address
245 HAIRSTON ST, DANVILLE, VA 24540-4137
(434) 799-0456
(434) 799-3100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904012640
VA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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