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NPI Code Detail

MEDICARE: CHRISTINE LOUISE BAIRD LCSW

MEDICARE:   CHRISTINE LOUISE BAIRD  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker3078CNV

General Provider Information

NPI Number : 1093997132
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE LOUISE BAIRD LCSW
Provider Business Mailing Address
First Line : 4055 SPENCER ST STE 118
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5250
Country : US
Telephone Number : 702-799-9710
Fax Number :
Provider Business Practice Location Address
First Line : 4055 SPENCER ST STE 118
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-5250
Country : US
Telephone Number : 702-799-9710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2007
Last Update Date : 01/13/2020

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Directions to “ CHRISTINE LOUISE BAIRD LCSW” Practice Location

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