Individual
MR. CHAD EDWARD PUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
636 NEW LOUDON RD, LATHAM, NY 12110-4002
(518) 783-5381
Mailing address
636 NEW LOUDON RD, LATHAM, NY 12110-4002
(518) 783-5381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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