MR. MARK PRUITT, LCSW

Social Worker - Clinical

Active Individual
NPI: 1538273743

Practice Address

904 HAWTHORNE AVE
Ypsilanti, MI 48198

Phone: (734) 431-2166

Specialties

Specialty Code Primary License
Social Worker 104100000X No 1187 (KY)
Social Worker - Clinical 1041C0700X Yes 6801115195 (MI)

Frequently Asked Questions

NPI 1538273743 is the National Provider Identifier for MR. MARK PRUITT, LCSW, a Social Worker - Clinical provider located in Ypsilanti, MI. This NPI was enumerated on August 18, 2006.
MR. MARK PRUITT, LCSW practices at 904 HAWTHORNE AVE, Ypsilanti, MI 48198.

Quick Facts

NPI
1538273743
Type
Individual
Enumerated
Aug 18, 2006
Last Updated
Feb 22, 2024

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