Individual
PATRICK P PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 421-7608
(816) 421-6493
Mailing address
600 W 39TH ST, KANSAS CITY, MO 64111-2910
(816) 421-7608
(816) 421-6493
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
2017042408
MO
Other
Enumeration date
10/12/2018
Last updated
10/17/2018
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