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Individual

MRS. JUDY A BAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSCSW

Contact information

Practice address
17 OLIVE ST., BOX 207, CONCORDIA, KS 66901-4934
(785) 243-4236
(785) 243-6119
Mailing address
4505 E 47TH ST S, WICHITA, KS 67210-1651
(311) 652-9910
(316) 529-9351

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2282
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200373160A
KS
Enumeration date
11/18/2005
Last updated
02/08/2012
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