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MICHELLE BAUMGARTNER

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

Registrant NPI Number: 1700114691

Individual Registrant:
 MICHELLE  BAUMGARTNER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
101 ROWLAND WAY STE 240  NOVATO, CA 94945-5056 US
Tel: 415-461-9000  Fax: 415-369-1381

Contact information for business:
325 DISTEL CIR  LOS ALTOS, CA 94022-1408 US
Tel: 415-461-9000  Fax: 415-369-1381

Registration Information:
NPI: 1700114691
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CALCS21472

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE MEDICAL LICENSE21472CA01




HEALTH CARE JOBS CA - Page 1



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