Individual
PROF. MICHAEL LANCE BAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
310 3RD AVE NE STE 108, ISSAQUAH, WA 98027-3346
(415) 793-3604
Mailing address
310 3RD AVE NE STE 108, ISSAQUAH, WA 98027-3346
(415) 793-3604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC9324
CA
1041C0700X
Clinical Social Worker
Primary
LW60080832
WA
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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