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Individual

EMILY M BAUGHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
620 N WALNUT ST, SPRINGFIELD, IL 62702-4930
(217) 264-3902
Mailing address
620 N WALNUT ST, SPRINGFIELD, IL 62702-4930

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362167778008
IL
Enumeration date
01/25/2023
Last updated
01/25/2023
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