Individual
MS. KERRIE L PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2436
(217) 373-2443
Mailing address
202 W PARK AVE, CHAMPAIGN, IL 61820-3929
(217) 373-2436
(217) 373-2443
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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