MRS. Diane Kay Baumbach, LICSW
NPI #1033217955 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1033217955
- Entity Type
- Individual
- Name
- MRS. Diane Kay Baumbach, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 2755 10TH AVE N
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58203
- Phone
- (701) 738-0888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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