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1750651139
KOREY J. PUCKETT
WASHINGTON, DC
NPI
1750651139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: DC LC50079247)
Enumeration Date
2012-01-03
Last Update Date
2012-01-03
Business Address
-- KOREY J. PUCKETT LICSW
1629 K ST NW SUITE 300
WASHINGTON, DC 20006-1602
Phone number: 410-236-0028
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Mailing Address
-- KOREY J. PUCKETT LICSW
5815 COMSTOCK AVE
BALTIMORE, MD 21206-2214
Phone number: 410-236-0028
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