THERESA PUCKETT

PORTLAND, ME
NPI1386934107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: ME  LM1043)
Enumeration Date2011-04-13
Last Update Date2011-04-13
Business Address
-- THERESA PUCKETT
92 DEERING AVE
PORTLAND, ME 04102-2901
Phone number: 207-874-8104
Mailing Address
-- THERESA PUCKETT
92 DEERING AVE
PORTLAND, ME 04102-2901
Phone number:
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