Individual
JOHN DAVID BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
21ST ST., BLDG 2437, FT. CAMPBELL, KY 42223
(270) 798-8967
(270) 956-0219
Mailing address
21ST ST., BLDG 2437, FT. CAMPBELL, KY 42223
(270) 798-8967
(270) 956-0219
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M06007
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69029814
—
NM
Enumeration date
11/10/2005
Last updated
11/26/2018
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