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Individual

MRS. LACEY MARIE BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CD(DONA)

Contact information

Practice address
23292 SPRING CREST DR, CARROLLTON, VA 23314-2688
(757) 349-6618
Mailing address
PO BOX 2, CARROLLTON, VA 23314-0002
(757) 349-6618

Taxonomy

Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
10264
VA

Other

Enumeration date
03/15/2014
Last updated
03/15/2014
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