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Individual

MRS. MARION D BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CAS MED

Contact information

Practice address
8 ELM STREET, MIDDLEBURY, VT 05753
(802) 388-7195
(802) 388-7194
Mailing address
8 ELM STREET, MIDDLEBURY, VT 05753
(802) 388-7195
(802) 388-7194

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0470000209
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006592
VT
Enumeration date
10/25/2006
Last updated
07/08/2007
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