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1568647998
KA-SIA MICHELLE BAUMER
IDAHO FALLS, ID
NPI
1568647998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-29998)
Enumeration Date
2008-01-03
Last Update Date
2024-05-07
Business Address
KA-SIA MICHELLE BAUMER LCSW
630 S WOODRUFF AVE STE B
IDAHO FALLS, ID 83401-6472
Phone number: 360-688-0564
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Mailing Address
KA-SIA MICHELLE BAUMER LCSW
1459 MOUNTAIN VIEW LN
IDAHO FALLS, ID 83402-1813
Phone number: 606-880-5643
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