Individual
PAMELA KAY PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1500 NORTH WESTWOOD BLVD, POPLAR BLUFF, MO 63901
(573) 686-4151
Mailing address
1500 NORTH WESTWOOD BLVD, POPLAR BLUFF, MO 63901
(573) 686-4151
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006026698
MO
Other
Enumeration date
06/03/2009
Last updated
03/29/2016
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