Individual
YESSENIA MARIE PRUETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11282 SGT CHARLES THOMAS ST, EL PASO, TX 79918
(915) 742-1784
Mailing address
5537 MANUEL MORENO DR, EL PASO, TX 79934-3174
(931) 980-5200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12627
TN
1041C0700X
Clinical Social Worker
9229
TN
Other
Enumeration date
06/02/2022
Last updated
10/29/2024
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