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1194145805
WESLEY J. PUCKETT
FLORENCE, AL
NPI
1194145805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 3636C)
Enumeration Date
2014-04-21
Last Update Date
2014-04-21
Business Address
-- WESLEY J. PUCKETT LCSW
635 W COLLEGE ST
FLORENCE, AL 35630-5313
Phone number: 256-764-3431
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Mailing Address
-- WESLEY J. PUCKETT LCSW
635 W COLLEGE ST
FLORENCE, AL 35630-5313
Phone number: 256-764-3431
Copy
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