Individual
STEPHANIE E PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1601 W 16TH ST, WELLINGTON, KS 67152-8125
(620) 326-7448
(620) 326-6662
Mailing address
PO BOX 607, WELLINGTON, KS 67152-0607
(620) 326-7448
(620) 326-6662
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9958
KS
1041C0700X
Clinical Social Worker
Primary
05265
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201135820A
—
KS
Enumeration date
05/31/2016
Last updated
12/10/2020
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