Individual
MRS. DUSTI D PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
13700 CADORNA STRADA, OKLAHOMA CITY, OK 73170-5141
(405) 229-7823
(405) 387-5845
Mailing address
13700 CADORNA STRADA, OKLAHOMA CITY, OK 73170-5141
(405) 229-7823
(405) 387-5845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3325
OK
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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