Individual
MR. ANTHONY DEAN PUCKET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105C W WALL ST, HARRISONVILLE, MO 64701-2355
(816) 974-7378
Mailing address
12031 HEMLOCK ST, OVERLAND PARK, KS 66213-1251
(913) 481-2089
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
T-LMFT3156
KS
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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