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1790298099
ALICIA PRUITT
SALEM, OR
NPI
1790298099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR L10934)
Enumeration Date
2017-11-08
Last Update Date
2023-03-14
Business Address
ALICIA PRUITT
2355 STATE ST STE 101
SALEM, OR 97301-4541
Phone number: 541-203-3867
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Mailing Address
ALICIA PRUITT
1292 HIGH ST UNIT A3034
EUGENE, OR 97401-3238
Phone number:
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