Individual
THOMAS J. PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8815 TRADEWIND RD NW, ALBUQUERQUE, NM 87121-7021
(505) 604-1244
Mailing address
8815 TRADEWIND RD NW, ALBUQUERQUE, NM 87121-7021
(505) 604-1244
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-11169
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82485747
—
NM
Enumeration date
07/13/2017
Last updated
01/21/2025
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