Putnam, Lara M

Putnam, Lara M is an individual health care provider with primary practice located at 1570 Wilmington Dr Ste 220 , Dupont WA 98327-8773. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Putnam, Lara M can be contacted via phone (206) 453-4882.

Contact Information

Primary practice address
1570 Wilmington Dr Ste 220 Dupont WA 98327-8773
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X CB60994084 Washington

Profile Details

NPI number 1831749712
LBN Legal business name Putnam, Lara M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2019
Last updated Sep 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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