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Individual
MR. CHARLES BAUMAN
Active
Individual
MR. CHARLES BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
49830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49830
MARRIAGE FAMILY THERAPIST
CA
Enumeration date
09/02/2011
Last updated
09/02/2011
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