Provider Information for 1043044472
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PUNEET KUMTA LCSW
Sex: Female
NPI: 1043044472
Last Updated: 2024-08-28
Certification Date: 2024-08-28
Certification Date: 2024-08-28
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1043044472 | ||||||||
| Enumeration Date | 2024-08-28 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 12744 SAN FRANCISCO, CA 94112-0744 United States Phone: | Fax: | ||||||||
| Primary Practice Address | PO BOX 12744 SAN FRANCISCO, CA 94112-0744 United States Phone: 415-577-1410 | Fax: | ||||||||
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