Individual
VERONICA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 623-1480
Mailing address
110 E MESCALERO RD, ROSWELL, NM 88201-6542
(575) 623-1480
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I06151
NM
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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