Individual
BARBARA GAUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
125 N LAKE ST, MANISTIQUE, MI 49854-1234
(906) 341-2144
Mailing address
601 BRIDGE ST, EAST JORDAN, MI 49727-9383
(906) 341-2144
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M49670008
MEDICARE
MI
Enumeration date
05/11/2007
Last updated
12/11/2017
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