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1518426949
STEPHANIE M PUCKETT
RALEIGH, NC
NPI
1518426949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC A14640)
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
STEPHANIE M PUCKETT
1206 CANTERBURY RD
RALEIGH, NC 27608-1900
Phone number: 919-622-5906
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Mailing Address
STEPHANIE M PUCKETT
1206 CANTERBURY RD
RALEIGH, NC 27608-1900
Phone number: 919-622-5906
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