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1003849142
WILLAR MAE BAUM
PORTSMOUTH, VA
NPI
1003849142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: VA 0904005016)
Enumeration Date
2006-07-09
Last Update Date
2021-12-09
Business Address
Mrs. WILLAR MAE BAUM L.C.S.W.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-9767
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Mailing Address
Mrs. WILLAR MAE BAUM L.C.S.W.
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-9767
Copy
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