Individual
MRS. KAITLYN R BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCMHC
Contact information
Practice address
501 SE 4TH ST STE C, MOORE, OK 73160-6831
(405) 653-8012
Mailing address
9112 SHADY GROVE RD, MOORE, OK 73160-9180
(605) 381-7670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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