Individual
MRS. TRACEY DIANNE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LMFT
Contact information
Practice address
1100 NW LOOP 410, SUITE 201, SAN ANTONIO, TX 78213-2263
(210) 557-7347
(210) 547-9605
Mailing address
1100 NW LOOP 410, SUITE 201, SAN ANTONIO, TX 78213-2263
(210) 557-7347
(210) 547-9605
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
201409
TX
Other
Enumeration date
08/07/2009
Last updated
11/08/2012
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