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Individual
TERESA A BAUMGARDNER
Active
Individual
TERESA A BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
181403
OH
104100000X
Social Worker
Primary
S.2308820
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0492504
—
OH
Enumeration date
06/20/2022
Last updated
06/30/2023
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