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Individual

PERRY BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. DIV., CDCS

Contact information

Practice address
301 RAILWAY AVE, SEWARD, AK 99664-3801
(907) 224-5257
(907) 224-7081
Mailing address
PO BOX 1045, SEWARD, AK 99664-1045
(907) 224-5257
(907) 224-7081

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4117
AK

Other

Enumeration date
01/07/2016
Last updated
01/07/2016
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