Provider First Line Business Practice Location Address:
BAUMHOLDER HEALTH CLINIC SOCIAL WORK SERVICES
Provider Second Line Business Practice Location Address:
UNIT 23809, BOX 52
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AEA
Provider Business Practice Location Address Postal Code:
09034
Provider Business Practice Location Address Country Code:
DE
Provider Business Practice Location Address Telephone Number:
314-485-7411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/25/2005