Individual
STEPHANIE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1726 S WASHINGTON ST, 33A, GRAND FORKS, ND 58201-6370
(701) 746-4584
Mailing address
1726 S WASHINGTON ST, 33A, GRAND FORKS, ND 58201-6370
(701) 746-4584
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
770-1-15-14AN
ND
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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