Individual
JOE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
104 WIND RIVER RD, SILVERTON, ID 83867-0119
(208) 752-1019
(208) 752-1063
Mailing address
PO BOX 119, SILVERTON, ID 83867-0119
(208) 752-1019
(208) 752-1063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW-28236
ID
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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