Individual
DERIKA LACOLE PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(251) 414-0731
Mailing address
2153 HEIGHT ST, MOBILE, AL 36605-5160
(251) 414-0731
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150.113203
IL
104100000X
Social Worker
Primary
31987
MD
104100000X
Social Worker
6548G
AL
104100000X
Social Worker
SC61508936
WA
Other
Enumeration date
08/01/2024
Last updated
04/22/2025
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