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Individual

NATHAN PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, CAPSW

Contact information

Practice address
612 N RANDALL AVE, JANESVILLE, WI 53545-1958
(608) 752-7660
(608) 752-9788
Mailing address
612 N RANDALL AVE, JANESVILLE, WI 53545-1958
(608) 752-7660
(608) 752-9788

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9024-123
WI

Other

Enumeration date
06/09/2016
Last updated
10/03/2018
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