Individual
MS. ALYSHA JEAN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, QMHS
Contact information
Practice address
710 N HIGH ST, MOUNT ORAB, OH 45154-8349
(937) 444-1613
Mailing address
710 N HIGH ST, MOUNT ORAB, OH 45154-8349
(937) 444-1613
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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