Individual
KELLY MARIE BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3155 SUTTON BLVD STE 201, MAPLEWOOD, MO 63143-3917
(314) 781-7900
Mailing address
2073 SILVERWOOD LN, CHESTERFIELD, MO 63017-7425
(516) 729-7308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018038119
MO
Other
Enumeration date
07/24/2019
Last updated
01/06/2026
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