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1205988532
ANDRE B PRUITT
PORTLAND, OR
NPI
1205988532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 3529)
Enumeration Date
2007-01-17
Last Update Date
2024-06-20
Business Address
ANDRE B PRUITT Ph.D., MSW
1220 SW MORRISON ST STE 730
PORTLAND, OR 97205-2226
Phone number: 503-860-1213
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Mailing Address
ANDRE B PRUITT Ph.D., MSW
6926 NE 22ND AVE
PORTLAND, OR 97211-5245
Phone number: 503-860-1213
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