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Individual
TRACEY AMANDA BAUGHER
Active
Individual
TRACEY AMANDA BAUGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LSCSW, LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1262
KS
1041C0700X
Clinical Social Worker
Primary
2017000895
MO
1041C0700X
Clinical Social Worker
4575
KS
Other
Enumeration date
10/09/2012
Last updated
03/01/2021
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