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1083730949
BRENDA L. PUCKETT
CHARLOTTE, NC
NPI
1083730949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC 5337)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
-- BRENDA L. PUCKETT LPC
1123 S CHURCH ST
CHARLOTTE, NC 28203-4003
Phone number: 704-370-3235
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Mailing Address
-- BRENDA L. PUCKETT LPC
1123 S CHURCH ST
CHARLOTTE, NC 28203-4003
Phone number: 704-370-3235
Copy
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