Individual
PAM BAUMGARTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 NORTH EISENHOWER AVENUE, MASON CITY, IA 50402
(641) 424-2391
(641) 424-0786
Mailing address
P.O. BOX 1338, 320 NORTH EISENHOWER AVENUE, MASON CITY, IA 50402
(641) 424-2391
(641) 424-0786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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