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1184190415
JASON BAUMGARD
BOCA RATON, FL
NPI
1184190415
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MT3536)
Enumeration Date
2018-10-14
Last Update Date
2018-10-14
Business Address
Mr. JASON BAUMGARD LMFT
21643 CYPRESS RD APT 14B
BOCA RATON, FL 33433-3219
Phone number: 130-575-3367
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Mailing Address
Mr. JASON BAUMGARD LMFT
21643 CYPRESS RD APT 14B
BOCA RATON, FL 33433-3219
Phone number: 130-575-3367
Copy
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