Individual
JUSTIN DOUGLAS BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
349 BOGLE ST, SOMERSET, KY 42503-2895
(606) 485-4611
Mailing address
349 BOGLE ST, SOMERSET, KY 42503-2895
(606) 485-4611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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