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Individual

ADRIENNE BAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1151 HIGHWAY 35 S, FOREST, MS 39074-8829
(601) 469-2732
Mailing address
PO BOX 674, MORTON, MS 39117

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TA2802
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02806840
MS
Enumeration date
06/19/2013
Last updated
02/17/2020
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