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Individual

KATHERINE ANN PUCETA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
353 STARR SCHOOL RD, BROWNING, MT 59417-2855
(406) 450-2432
(406) 338-5369
Mailing address
PO BOX 2855, BROWNING, MT 59417-2855
(406) 450-2432
(406) 338-5369

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
388
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000052891
BLUE CROSS-SHIELD OF MONTANA
MT
Enumeration date
05/28/2008
Last updated
07/27/2010
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