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1891246542
LAUREN ELYSE PUCKETT
JENISON, MI
NPI
1891246542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: MI 6401015673)
Enumeration Date
2016-10-18
Last Update Date
2019-09-11
Business Address
LAUREN ELYSE PUCKETT LPC
7678 COTTONWOOD DR
JENISON, MI 49428
Phone number: 616-426-9034
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Mailing Address
LAUREN ELYSE PUCKETT LPC
7678 COTTONWOOD DR
JENISON, MI 49428-7312
Phone number: 616-426-9034
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