ELLIE PUCKETT

RUSTON, LA
NPI1477324846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: LA  7097)
Enumeration Date2024-01-12
Last Update Date2024-01-12
Business Address
ELLIE PUCKETT
335 WOODS RD
RUSTON, LA 71270-7148
Phone number: 318-533-6000
Mailing Address
ELLIE PUCKETT
335 WOODS RD
RUSTON, LA 71270-7148
Phone number: 318-533-6000
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