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1992977300
THOMAS BAUGHMAN
FORT MOHAVE, AZ
NPI
1992977300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC 10256)
Enumeration Date
2008-03-25
Last Update Date
2008-03-25
Business Address
Mr. THOMAS BAUGHMAN L.I.S.A.C.
5767 RUTH DR
FORT MOHAVE, AZ 86426-8828
Phone number: 928-768-3506
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Mailing Address
Mr. THOMAS BAUGHMAN L.I.S.A.C.
5767 RUTH DR
FORT MOHAVE, AZ 86426-8828
Phone number: 928-768-3506
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