Individual
ELIZABETH PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., EDS
Contact information
Practice address
407 SLATE RUN DR, POWELL, OH 43065-7902
(614) 226-5792
Mailing address
407 SLATE RUN DR, POWELL, OH 43065-7902
(614) 226-5792
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3129742
OH
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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