Individual
ELIZABETH PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 DODGE ST, BEVERLY, MA 01915-1827
(978) 921-1182
Mailing address
111 DODGE ST, BEVERLY, MA 01915-1827
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
08/29/2017
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