Organization
THE ME I WANT TO BE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BAUMGARTNER (OWNER)
(563) 362-2379
Entity
Organization
Contact information
Practice address
3 GOETHE ST, GUTTENBERG, IA 52052-9319
(563) 362-2379
(563) 334-7970
Mailing address
PO BOX 285, GUTTENBERG, IA 52052-0285
(563) 362-2379
(563) 334-7970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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