Female

Mrs. Diane K. Baumbach LICSW

Clinical Social Worker in Grand Forks, ND(View on Map)

Full Name

Mrs. Diane Kay Baumbach LICSW

NPI Number

1033217955

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/21/2006

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

North Dakota

License Number

2971

Contact
Information

Purpose

Mailing
Location

Address

7055 148TH AVE NE
2755 10TH AVE N

City

Grafton
Grand Forks

State

ND
ND

Postal Code

58237-9054
58203

Country

US
US

Telephone Number

(218) 791-5669
(701) 738-0888

Identifiers

Identifier

1456202

Identifier State

ND

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/02/2019

Provider Address

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