Individual
MS. SUSAN F. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3456
(314) 206-3992
Mailing address
1430 OLIVE ST, SAINT LOUIS, MO 63103-2303
(314) 206-3456
(314) 206-3992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2004010253
MO
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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