Most Relevant Information
Provider Data
| NPI Number: | 1003470121 |
| Provider Name: | DUSTYN RYAN PUTZIER LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LMSW-35806 |
Most Important Dates
| Enumeration Date: | 04/24/2019 |
| Last Updated: | 06/06/2023 |
Provider Practice Location
51781 HUNTINGTON RD
LA PINE
OR
977391118
Practice Location Phone/Fax
| Phone: | 5419077040 |
| Fax: | 5419077059 |
Provider Mailing Location
11613 CABIN CREEK ST
CALDWELL
ID
836056793
Provider Mailing Phone/Fax
| Phone: | 2088304503 |
| Fax: |