Individual
MR. CHARLES MICHAEL PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
74 SANDERS DR, BRIGHTON, TN 38011-6501
(901) 268-4229
(901) 476-5638
Mailing address
74 SANDERS DR, BRIGHTON, TN 38011-6501
(901) 268-4229
(901) 476-5638
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LSW0000003720
TN
Other
Enumeration date
05/15/2006
Last updated
07/27/2015
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