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1114328077
STEPHANIE PUCKETT
MOUNT AIRY, NC
NPI
1114328077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A11005)
Enumeration Date
2014-09-10
Last Update Date
2014-09-10
Business Address
-- STEPHANIE PUCKETT LPCA
414 W LEBANON ST
MOUNT AIRY, NC 27030-2954
Phone number: 336-789-9492
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Mailing Address
-- STEPHANIE PUCKETT LPCA
414 W LEBANON ST
MOUNT AIRY, NC 27030-2954
Phone number: 336-789-9492
Copy
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