Individual
MEGAN PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1311 N LOTTIE AVE, OKLAHOMA CITY, OK 73117-2051
(405) 600-3074
(405) 605-8120
Mailing address
12901 N MACARTHUR BLVD, APT. 151, OKLAHOMA CITY, OK 73142-3081
(580) 542-2634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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