Individual
MR. DUSTYN RYAN PUTZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
51781 HUNTINGTON RD, LA PINE, OR 97739-1118
(541) 907-7040
(541) 907-7059
Mailing address
11613 CABIN CREEK ST, CALDWELL, ID 83605-6793
(208) 830-4503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-35806
ID
Other
Enumeration date
04/24/2019
Last updated
06/06/2023
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