Individual
KAYLEIGH DIANE TRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
37875 JASPER LOWELL RD, JASPER, OR 97438-9751
(541) 747-1235
(541) 747-4722
Mailing address
1505 ORCHARD ST APT 24, EUGENE, OR 97403-2072
(503) 816-8568
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/29/2019
Last updated
12/29/2019
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