Individual
DR. GARY S. BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC
Contact information
Practice address
300 BROADWAY AVE, BRASELTON, GA 30517
(770) 354-3338
Mailing address
300 BROADWAY AVE, BRASELTON, GA 30517
(770) 354-3338
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001821
GA
Other
Enumeration date
01/31/2016
Last updated
01/31/2016
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