Individual
MIRANDA BAUMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S MAIN ST, KENDALLVILLE, IN 46755-1718
(260) 347-2453
Mailing address
220 S MAIN ST, KENDALLVILLE, IN 46755-1718
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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