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Individual

CHRISTINE M BAUMGARDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
143 TOLOWA TRL, LIMA, OH 45805-4124
(419) 306-9290
Mailing address
143 TOLOWA TRL, LIMA, OH 45805-4124
(419) 306-9290

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1201251
OH
1041C0700X
Clinical Social Worker
Primary
I 1600290
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0195744
OH
Enumeration date
05/29/2014
Last updated
05/01/2026
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