Individual
MRS. MARGIE PUCKETT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1414 5TH AVE SE, SUITE I, DECATUR, AL 35601-4245
(256) 355-7050
(256) 355-7050
Mailing address
1414 5TH AVE SE, SUITE I, DECATUR, AL 35601-4245
(256) 355-7050
(256) 355-7050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1846
AL
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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