SAMUEL PUCKETT

CHICAGO, IL
NPI1174301675
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
Enumeration Date2023-09-18
Last Update Date2023-09-18
Business Address
SAMUEL PUCKETT MSW
2259 W TAYLOR ST
CHICAGO, IL 60612-4233
Phone number: 312-478-4567
Mailing Address
SAMUEL PUCKETT MSW
230 E OHIO ST # 4101423
CHICAGO, IL 60611-3265
Phone number: 888-708-5561