Individual
RONALD DELOS BAUDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5549 HIGHWAY K OLD HIGHWAY 13, GOOD SAMARITAN BOYS RANCH, BRIGHTON, MO 65617
(417) 376-2238
(417) 376-2014
Mailing address
PO BOX 617, GOOD SAMARITAN BOYS RANCH, BRIGHTON, MO 65617
(417) 376-2238
(417) 376-2014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2012000124
MO
1041C0700X
Clinical Social Worker
Primary
2014015230
MO
Other
Enumeration date
08/12/2013
Last updated
10/21/2014
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