Individual
MIA PRUETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
66 MAIN ST, NORTH EASTON, MA 02356-1443
(508) 230-5083
(508) 230-5089
Mailing address
66 MAIN ST, NORTH EASTON, MA 02356-1443
(508) 230-5083
(508) 230-5089
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2491
MA
Other
Enumeration date
02/13/2006
Last updated
07/08/2007
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