Individual
MRS. DEIRDRE HURLEY PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
500 CUMMINGS CTR STE 6500, BEVERLY, MA 01915-6234
(978) 236-1763
Mailing address
17 BUSH HILL RD, IPSWICH, MA 01938-1620
(978) 302-4078
(978) 236-1702
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114003
MA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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