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Individual

MADELEINE PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2520 LONGVIEW ST STE 213, AUSTIN, TX 78705-4234
(512) 607-9360
Mailing address
2520 LONGVIEW ST STE 213, AUSTIN, TX 78705-4234

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205615
TX

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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