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LYDIA BAUST LGSW

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1174890537

Individual Registrant:
 LYDIA  BAUST LGSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3680 WARWICK RD  EAST NEW MARKET, MD 21631-1420 US
Tel: 410-943-8108  Fax: --

Contact information for business:
3680 WARWICK RD  EAST NEW MARKET, MD 21631-1420 US
Tel: 410-943-8108  Fax: --

Registration Information:
NPI: 1174890537
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker
MD16412

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
631501100MD05




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