Provider Information for 1942473020
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Miss JULIE KRISTEN PUGGINI LPC
Sex: Female
NPI: 1942473020
Last Updated: 2010-05-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1942473020 | ||||||||
| Enumeration Date | 2008-04-09 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 117 CASS AVE SUITE 206 MOUNT CLEMENS, MI 48043-2252 United States Phone: 586-260-7135 | Fax: | ||||||||
| Primary Practice Address | 117 CASS AVE SUITE 106 MOUNT CLEMENS, MI 48043-2252 United States Phone: 586-260-7135 | Fax: | ||||||||
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