Bierbaum, Audrey Jean

Bierbaum, Audrey Jean is an sole proprietor health care provider with primary practice located at 204 Memorial Dr , Bristol TN 37620-1704. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bierbaum, Audrey Jean can be contacted via phone (423) 220-7029.

Contact Information

Primary practice address
204 Memorial Dr Bristol TN 37620-1704
Fax: (423) 573-2226
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7716 Tennessee

Profile Details

NPI number 1942873922
LBN Legal business name Bierbaum, Audrey Jean
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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