Individual
MR. KARL BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
232 2ND ST S, NAMPA, ID 83651-3709
(208) 453-8915
Mailing address
232 2ND ST S, NAMPA, ID 83651-3709
(208) 453-8915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-33551
ID
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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