Individual
DAVID PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2840 MILITARY HWY, PINEVILLE, LA 71360-4337
(318) 704-5304
Mailing address
1005 MAUREEN ST, ALEXANDRIA, LA 71303-2337
(270) 316-4910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8246
LA
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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