Individual
ELIZABETH M BALTENSPERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 JOEL DR, DEPARTMENT OF SOCIAL WORK, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
Mailing address
650 JOEL DR, DEPARTMENT OF SOCIAL WORK, FORT CAMPBELL, KY 42223-5318
(270) 798-8601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1706-C
AR
1041C0700X
Clinical Social Worker
Primary
2144 C
AR
Other
Enumeration date
02/27/2006
Last updated
07/12/2007
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