Individual
SAMANTHA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
105 W 4TH ST, PRATT, KS 67124-2605
(620) 231-5310
Mailing address
105 W 4TH ST, PRATT, KS 67124-2605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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