Individual
MR. CARL PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3016 LAKE SHORE DR, INDIANAPOLIS, IN 46205-2324
(317) 253-7387
(317) 253-7388
Mailing address
PO BOX 55107, INDIANAPOLIS, IN 46205-0107
(317) 253-7387
(317) 253-7388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003308A
IN
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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