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Individual

TRAVIS SCOTT BAER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.S.W.

Contact information

Practice address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
(801) 621-7024
Mailing address
1525 LINCOLN AVE, OGDEN, UT 84404-5638
(801) 621-6510
(801) 621-7024

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
138080-3501
UT

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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