| Doctor Name: | MRS. WILLAR MAE BAUM |
| NPI Number: | 1003849142 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 0904005016 |
| Business Practice Address: | 1216 Granby St Suite 7 Norfolk, VA - 235102607 |
| Business Phone Number: | 7576224492 |
| Business Fax Number: | 7576224492 |
| Mailing Address: | 1216 Granby St, Suite 7 NORFOLK |
| State: | VA |
| Postal Code: | 235102607 |
| Phone Number: | 7576224492 |
| Fax Number: | 7576224492 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904005016 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |