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1134699689
JENNIFER PUCKETT
LOUISVILLE, KY
NPI
1134699689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 4086)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
JENNIFER PUCKETT
4835 POPLAR LEVEL RD STE 110
LOUISVILLE, KY 40213-2906
Phone number: 502-443-5273
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Mailing Address
JENNIFER PUCKETT
4835 POPLAR LEVEL RD STE 110
LOUISVILLE, KY 40213-2906
Phone number: 502-443-5273
Copy
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