Individual
LYDIA BAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(410) 943-8108
Mailing address
3680 WARWICK RD, EAST NEW MARKET, MD 21631-1420
(410) 943-8108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16412
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631501100
—
MD
Enumeration date
11/29/2011
Last updated
11/29/2011
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