Individual
MARY BAUMBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 WEST 2ND COURT, RUSSELLVILLE, AR 72801
(479) 567-5654
(479) 567-5661
Mailing address
PO BOX 10363, RUSSELLVILLE, AR 72812
(479) 567-5654
(479) 567-5661
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6576-C
AR
Other
Enumeration date
09/19/2012
Last updated
04/05/2019
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