Doctor Name: | GAIL A TRUITT |
NPI Number: | 1033283577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | LW00004655 |
Business Practice Address: | 17121 Se 270th Pl Suite 205 Covington, WA - 980425431 |
Business Phone Number: | 2536305434 |
Business Fax Number: | 2536387465 |
Mailing Address: | 17121 Se 270th Pl, Suite 205 COVINGTON |
State: | WA |
Postal Code: | 980425431 |
Phone Number: | 2536305434 |
Fax Number: | 2536387465 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW00004655 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |