Individual
MRS. DEBORAH S BALDRIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN LPC
Contact information
Practice address
1469 S MAIN ST, NORTH CANTON, OH 44720-4245
(330) 499-3065
(330) 499-2497
Mailing address
1277 SHADY LAKES DR, KENT, OH 44240
(330) 346-0395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
#C 0007745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7866699
AETNA PIN
OH
Enumeration date
12/27/2006
Last updated
07/08/2007
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