Individual
MRS. MACKENZIE ROSE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
E19320 BARTIG RD, AUGUSTA, WI 54722-7501
(715) 286-2291
Mailing address
E19320 BARTIG RD, AUGUSTA, WI 54722-7501
(715) 286-2291
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3001029965
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3001029965
DPI SCHOOL PSYCHOLOGIST LICENSE
WI
Enumeration date
04/22/2026
Last updated
04/22/2026
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