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)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