Individual
DR. KIM MARIE BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
207 W JEFFERSON ST STE 304, BLOOMINGTON, IL 61701-3969
(309) 204-6614
Mailing address
207 W JEFFERSON ST STE 304, BLOOMINGTON, IL 61701-3969
(309) 204-6614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008516
IL
106H00000X
Marriage & Family Therapist
166000794
IL
Other
Enumeration date
03/14/2008
Last updated
09/14/2022
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