Individual
CORA GRACE BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 W BOONE AVE, SPOKANE, WA 99201-2309
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61324488
WA
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2021
Last updated
11/10/2022
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