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Individual

TODD PUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
6 SKYLARK ST, DAYTON, TX 77535-1538
(936) 334-3309
Mailing address
6 SKYLARK ST, DAYTON, TX 77535-1538
(936) 334-3309

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15577
TX

Other

Enumeration date
05/27/2013
Last updated
05/27/2013
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