Individual
KIMBERLY BAUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11870 ULYSSES ST NE STE 200, BLAINE, MN 55434-4193
(651) 485-5428
Mailing address
1875 STATION PKWY NW, ANDOVER, MN 55304-3319
(651) 485-5428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
17107
MN
Other
Enumeration date
06/05/2014
Last updated
09/06/2023
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