Individual
KIMBERLY KAY BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, MSW, MHS
Contact information
Practice address
5605 W 950 S, GENEVA, IN 46740-9632
(260) 525-0185
Mailing address
5605 W 950 S, GENEVA, IN 46740-9632
(260) 525-0185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007336A
IN
225X00000X
Occupational Therapist
310000819A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34007336A
LICENSED CLINICAL SOCIAL WORKER
IN
Enumeration date
04/07/2008
Last updated
06/01/2017
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