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Individual

JULIE PUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7445 MATTS LANDING PT, CUMMING, GA 30028-4740
(678) 793-6116
Mailing address
7445 MATTS LANDING PT, CUMMING, GA 30028-4740
(678) 793-6116

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
003579
GA

Other

Enumeration date
08/19/2020
Last updated
08/19/2020
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