Individual
MRS. EILEEN MARIA BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
350 S COLUMBUS BLVD, TUCSON, AZ 85711-4138
(052) 097-7136
Mailing address
350 S COLUMBUS BLVD, TUCSON, AZ 85711-4138
(052) 097-7136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW022165
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XXX-XX-XXXX
—
PA
Enumeration date
09/25/2020
Last updated
01/31/2023
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