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1124891072
KYRA MAE BAUMSTARK
SPARTA, NJ
NPI
1124891072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC06241500)
Enumeration Date
2023-11-02
Last Update Date
2023-11-02
Business Address
KYRA MAE BAUMSTARK LCSW
191 WOODPORT RD STE 206
SPARTA, NJ 07871-2641
Phone number: 973-691-3030
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Mailing Address
KYRA MAE BAUMSTARK LCSW
225 RED SCHOOL LN APT J10
PHILLIPSBURG, NJ 08865-2245
Phone number: 908-442-5709
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