Individual
KATHY PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1213 MARIA LN, IUKA, MS 38852-1135
(662) 423-3332
Mailing address
PO BOX 839, CORINTH, MS 38835-0839
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1116
MS
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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