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Individual
SUSAN L. BAUER
Active
Individual
SUSAN L. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
03940
IA
101Y00000X
Counselor
1109
NE
101Y00000X
Counselor
Primary
1899
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03940
LMSW LICENSE
NE
01
—
1109
CPC LICENSE
NE
01
—
1899
LMHP LICENSE
NE
Enumeration date
03/26/2007
Last updated
08/23/2023
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