Individual
MS. MADELINE CAROL BAUMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 852-6941
(502) 852-1055
Mailing address
PO BOX 890527, CHARLOTTE, NC 28289-0527
(502) 852-6941
(502) 852-1055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2079
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2079
LCSW
KY
Enumeration date
12/28/2006
Last updated
07/08/2007
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