Individual
CHERYL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-2298
(727) 584-7706
(727) 585-0254
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-2298
(727) 584-7706
(727) 585-0254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW17695
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7RI9M
FLORIDA BLUE
FL
Enumeration date
07/23/2020
Last updated
03/17/2021
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