Tabatha Jo Baumgartner, LCSW

NPI #1225569338 in Rupert, Idaho

Provider Information

NPI Number: 1225569338
Entity Type: Individual
Name: Tabatha Jo Baumgartner, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 22, 2017
Last Updated: Sep 5, 2024

Practice Location

Address: 512 6TH ST
City: Rupert
State: Idaho
ZIP Code: 83350-1621
Phone: (208) 436-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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