Individual
KAYDEN BRIANNE BAUCOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-T
Contact information
Practice address
201 W WALNUT ST, COLUMBUS, KS 66725-1121
(620) 429-1860
Mailing address
PO BOX 550, RIVERTON, KS 66770-0550
(620) 848-2300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12713-T
KS
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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