Individual
MR. KEITH GERARD BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, ACSW
Contact information
Practice address
5217 JANICE AVE, KENNER, LA 70065
(504) 779-7754
(504) 779-7754
Mailing address
5217 JANICE AVE, KENNER, LA 70065
(504) 779-7754
(504) 779-7754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3235
LA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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