Individual
MS. LOUISA BIDWELL PUTNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
333 RIO RANCHO DR NE STE 205, RIO RANCHO, NM 87124-1456
(505) 814-1460
Mailing address
2930 FUEGO SAGRADO, SANTA FE, NM 87505-5114
(505) 501-4270
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0188861
NM
Other
Enumeration date
12/29/2017
Last updated
03/17/2018
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