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Individual

MS. MANDY MAE PUTNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC II

Contact information

Practice address
12180 SE MARKET ST, PORTLAND, OR 97216-3923
(971) 279-4993
Mailing address
17839 SE HARRISON ST, PORTLAND, OR 97233-5123
(503) 935-2848
(503) 269-8407

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
03/03/2015
Last updated
01/03/2024
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