JESSIE PUCKETT

SHREVEPORT, LA
NPI1134586886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2016-01-26
Last Update Date2016-01-26
Business Address
-- JESSIE PUCKETT
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-675-0804
Mailing Address
-- JESSIE PUCKETT
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: