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1942720669
ASHLEY MICHELLE PUCKETT
JONESBORO, AR
NPI
1942720669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-06-23
Last Update Date
2017-10-04
Business Address
ASHLEY MICHELLE PUCKETT MHPP
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
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Mailing Address
ASHLEY MICHELLE PUCKETT MHPP
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
Copy
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