Individual
AMBER RENEE GRANGER BAUGHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
691 NW JEAN CT, LAKE CITY, FL 32055-7062
(386) 965-5192
Mailing address
691 NW JEAN CT, LAKE CITY, FL 32055-7062
(386) 965-5192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12715
FL
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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