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Individual
ROBERTA A BAUMANN
Active
Individual
ROBERTA A BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1029240
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854224
—
MA
01
—
P07366
BCBS
—
Enumeration date
11/28/2006
Last updated
07/31/2018
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