DEWAYNE ALLEN PRATT

WHITE CITY, OR
NPI1407807712
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  03-R-21)
Enumeration Date2006-05-12
Last Update Date2007-07-08
Business Address
Mr. DEWAYNE ALLEN PRATT MSW
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
Mailing Address
Mr. DEWAYNE ALLEN PRATT MSW
8008 HARLAN DR
WHITE CITY, OR 97503-1311
Phone number: 541-826-2111