Individual
MRS. JOANNA PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST, STE212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
5979 N 10TH ST, JOINT BASE LEWIS MCCHORD, WA 98433-1102
(253) 343-3168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
60737648
WA
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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