Individual
TINA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 MADISON AVENUE, EVERETT, WA 98203
(425) 355-8668
(425) 355-4188
Mailing address
918 MADISON AVENUE, EVERETT, WA 98203
(425) 355-8668
(425) 355-4188
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
RC00057441
WA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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