Individual
JOSEPH RAYMOND BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA OF PSYCHOLOGY
Contact information
Practice address
6360 TECHSTER BLVD, FORT MYERS, FL 33966-4805
(239) 223-2751
(239) 703-7883
Mailing address
6360 TECHSTER BLVD, FORT MYERS, FL 33966-4805
(239) 223-2751
(239) 703-7883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/24/2019
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