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Organization

KELLY M BAUMAN LCSW LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLY BAUMAN (LCSW)
(516) 729-7308
Entity
Organization

Contact information

Practice address
2073 SILVERWOOD LN, CHESTERFIELD, MO 63017-7425
(516) 729-7308
Mailing address
2073 SILVERWOOD LN, CHESTERFIELD, MO 63017-7425

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952955338
NPI
MO
Enumeration date
01/06/2026
Last updated
01/06/2026
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