Pruitt, Mark Duane

Pruitt, Mark Duane is an sole proprietor health care provider with primary practice located at 904 Hawthorne Ave , Ypsilanti MI 48198-5812. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Pruitt, Mark Duane can be contacted via phone (734) 431-2166.

Contact Information

Primary practice address
904 Hawthorne Ave Ypsilanti MI 48198-5812
Phone: (734) 431-2166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 1187 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34003875A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801115195 Michigan

Profile Details

NPI number 1538273743
LBN Legal business name Pruitt, Mark Duane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Feb 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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