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1518712579
PAYSON PUCKETT
REDDING, CA
NPI
1518712579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 18020)
Enumeration Date
2024-04-22
Last Update Date
2024-04-22
Business Address
PAYSON PUCKETT
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
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Mailing Address
PAYSON PUCKETT
1237 CALIFORNIA ST
REDDING, CA 96001-0618
Phone number: 530-243-7470
Copy
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