Individual
MS. MARY GRACE BAUMGARTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1412 RIDGEWOOD DR, WEST BEND, WI 53095-5501
(314) 974-7040
Mailing address
1412 RIDGEWOOD DR, WEST BEND, WI 53095-5501
(314) 974-7040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2006006911
MO
1041C0700X
Clinical Social Worker
Primary
8552-123
WI
Other
Enumeration date
08/02/2014
Last updated
01/20/2026
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