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Individual
MS. SANDRA L. PUCKETT
Active
Individual
MS. SANDRA L. PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LBS
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC016885
PA
103K00000X
Behavior Analyst
BH005638
PA
Other
Enumeration date
01/15/2019
Last updated
07/22/2025
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