Individual
MRS. JESSICA LYNN BALDAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, CS-IT
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
(608) 355-4299
Mailing address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
(608) 355-4299
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128844-121
WI
Other
Enumeration date
02/21/2013
Last updated
04/08/2020
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