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Individual

BALYNDA BAUGHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
9332 STATE ROAD 54 STE 307, NEW PORT RICHEY, FL 34655-1810
(833) 769-3524
Mailing address
401 HOWARD ST, KALAMAZOO, MI 49001-2748

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
6801096559
MI
1041C0700X
Clinical Social Worker
Primary
SW17658
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801096559
MASTERS LTD SOCIAL WORKER
MI
Enumeration date
09/12/2014
Last updated
05/02/2024
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