Individual
SUSAN BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
(410) 910-9073
Mailing address
7227 LEE DEFOREST DR, COLUMBIA, MD 21046-3236
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4195
TN
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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