Korey Puckett's National Provider Identifier (NPI) Details
Korey Puckett, LICSW
NPI: 1750651139
Enumeration Date: 2012-01-03
Last updated: 2012-01-03
Sole Proprietor: YES
Status: active
Postal Address: 5815 COMSTOCK AVE, BALTIMORE, MD
Phone: 410-236-0028
Primary Practice Address: 1629 K ST NW, SUITE 300, WASHINGTON, MD
Practice's phone: 410-236-0028