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Individual

BRIDGET PUCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSWA

Contact information

Practice address
1921 N POINTE DR STE 280, DURHAM, NC 27705-2672
(919) 296-4746
Mailing address
2313 ALBANY ST, DURHAM, NC 27705-3137

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014575
NC

Other

Enumeration date
08/18/2020
Last updated
08/18/2020
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