Individual
ROBIN LYNN PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPC LAC
Contact information
Practice address
17505 N 79TH AVE STE 311G, GLENDALE, AZ 85308-8730
(623) 876-2029
Mailing address
PO BOX 5836, SUN CITY WEST, AZ 85376-5836
(623) 694-0866
(623) 975-2083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC12884
AZ
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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