SAMANTHA PUCKETT

RALEIGH, NC
NPI1407580111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  LCAS-28291)
Enumeration Date2022-07-11
Last Update Date2022-07-11
Business Address
SAMANTHA PUCKETT LCAS-A
6112 SAINT GILES ST
RALEIGH, NC 27612-7043
Phone number: 919-893-4465
Mailing Address
SAMANTHA PUCKETT LCAS-A
212 PROVIDENCE GLEN DR
CHAPEL HILL, NC 27514-6992
Phone number:
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