Individual
WESLEY J. PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 768-7462
Mailing address
635 W COLLEGE ST, FLORENCE, AL 35630-5313
(256) 764-3431
(256) 768-7462
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3636C
AL
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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