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Individual

LEON PUTTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5301
Mailing address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5301

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301010652
MI

Other

Enumeration date
01/18/2019
Last updated
01/28/2021
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