Individual
DEANN SUE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 SW J H RD, PORT ORCHARD, WA 98367-7367
(307) 690-6354
Mailing address
960 SW J H RD, PORT ORCHARD, WA 98367-7367
(307) 690-6354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SC61160031
WA
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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