Individual
BREANNA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3556 SULLIVANT AVE, COLUMBUS, OH 43204-1153
(614) 827-1307
Mailing address
6037 CLEVELAND AVE, COLUMBUS, OH 43231-2256
(614) 267-7003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
03/12/2025
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