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Individual
KAYLA JEAN PUCKETT
Active
Individual
KAYLA JEAN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.2202982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E.2202982
LPCC
OH
Enumeration date
04/27/2016
Last updated
07/19/2023
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