Individual
AMY BAUCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 LINCOLNS DR, BRANDON, MS 39042-8485
(601) 832-0811
Mailing address
550 LINCOLNS DR, BRANDON, MS 39042-8485
(601) 832-0811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7713
MS
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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