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Organization

NANCY A. PUCKETT

Active
Parent organization
NANCY A. PUCKETT, LMHP,CPC
Organization subpart
Yes

Provider details

NPI number
Legal business name
NANCY A. PUCKETT, LMHP,CPC
Authorized official
NANCY ANN PUCKETT MA (LMHP, CPC)
(308) 728-9979
Entity
Organization

Contact information

Practice address
100 N 15TH ST, ORD, NE 68862-1458
(308) 728-9979
(308) 728-9980
Mailing address
PO BOX 226, ORD, NE 68862-0226
(308) 728-9979
(308) 728-9980

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2947
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025457200
NE
Enumeration date
01/21/2012
Last updated
01/21/2012
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