Individual
DIANA MARIE PUKYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 COMMERCE DR, CAYCE, SC 29033-1524
(803) 796-6179
Mailing address
514 S PROSPECT ST, COLUMBIA, SC 29205-4064
(330) 933-1897
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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