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1235759283
MEGAN LANE PUCKETT
SACRAMENTO, CA
NPI
1235759283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 686876)
Enumeration Date
2020-04-20
Last Update Date
2020-06-04
Business Address
MEGAN LANE PUCKETT
3353 BRADSHAW RD
SACRAMENTO, CA 95827-2607
Phone number: 916-869-6907
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Mailing Address
MEGAN LANE PUCKETT
3353 BRADSHAW RD
SACRAMENTO, CA 95827-2607
Phone number:
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