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Search › Illinois › 101YA0400X

Shoshana Puckett

NPI 1609171941 · on the registry since 2011

Practice

Address
504 Micah Dr
Drawer M
Olney, IL 62450
Phone
(618) 395-4306
Fax
(618) 395-4507
Organisation at this address
Richland Family Counseling Ctrs Inc
South Eastern Illinois Counseling Center Inc
South Eastern Illinois Counseling Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101Y00000X
101YM0800X
Sex
Female
Record last updated
2011-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois