Individual
ANNALISE BAUMGARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(646) 302-8403
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(646) 302-8403
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
098014
NY
Other
Enumeration date
04/08/2022
Last updated
07/31/2024
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