Individual
CRISTA NOEL BAUTZMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1820 MEMORIAL DR STE 203, CLARKSVILLE, TN 37043-4693
(931) 933-7200
(931) 896-2075
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSCW.00000016
CO
Other
Enumeration date
08/26/2014
Last updated
12/09/2022
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