Individual
JENNIFER PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4835 POPLAR LEVEL RD STE 110, LOUISVILLE, KY 40213-2906
(502) 443-5273
(502) 631-9660
Mailing address
4835 POPLAR LEVEL RD STE 110, LOUISVILLE, KY 40213-2906
(502) 443-5273
(502) 631-9660
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4086
KY
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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