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1407807712
DEWAYNE ALLEN PRATT
WHITE CITY, OR
NPI
1407807712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 03-R-21)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Mr. DEWAYNE ALLEN PRATT MSW
8495 CRATER LAKE HWY
WHITE CITY, OR 97503-3011
Phone number: 541-826-2111
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Mailing Address
Mr. DEWAYNE ALLEN PRATT MSW
8008 HARLAN DR
WHITE CITY, OR 97503-1311
Phone number: 541-826-2111
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