Individual
MARIA MICHELLE PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 WOODBRIDGE ST, SAINT CLAIR SHORES, MI 48080-1621
(586) 350-1778
Mailing address
12800 E WARREN AVE, DETROIT, MI 48215-2061
(313) 308-1400
(313) 824-5589
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401016969
MI
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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