Individual
BRE'ANNA PUCKETT-WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 WASHINGTON AVE, CAIRO, IL 62914-1810
(618) 734-2665
Mailing address
1401 WASHINGTON AVE, CAIRO, IL 62914-1810
(618) 734-2665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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