Individual
DOREEN C BAERENTZEN
Active
Individual
DOREEN C BAERENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128285
IA
1041C0700X
Clinical Social Worker
149011506
IL
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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