| Laura Putney Lmsw Llc | |
|
569 Wildwood Ave Unit 4 Jackson MI 49201-1048 | |
| (517) 292-4720 | |
| Not Available |
| Full Name | Laura Putney Lmsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 569 Wildwood Ave Unit 4, Jackson, Michigan |
| Authorized Official Name and Position | Marybeth Houpt (CREDENTIALING) |
| Authorized Official Contact | 5176769788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Putney Lmsw Llc Po Box 10 Mason MI 48854-0010 Ph: () - | Laura Putney Lmsw Llc 569 Wildwood Ave Unit 4 Jackson MI 49201-1048 Ph: (517) 292-4720 |
| NPI Number | 1811401417 |
|---|---|
| Provider Enumeration Date | 11/20/2017 |
| Last Update Date | 11/20/2017 |
| Medicare PECOS PAC ID | 7719245828 |
|---|---|
| Medicare Enrollment ID | O20171219002244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811401417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801095626 (Michigan) | Primary |
| Provider Name | Laura M Putney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841630332 PECOS PAC ID: 5991098899 Enrollment ID: I20160801000094 |
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