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1699028837
BRIDGET BAUM
PROVO, UT
NPI
1699028837
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2012-10-25
Last Update Date
2012-10-25
Business Address
-- BRIDGET BAUM SUDCi
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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Mailing Address
-- BRIDGET BAUM SUDCi
1726 BUCKLEY LN
PROVO, UT 84606-5031
Phone number: 801-373-6562
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