Individual
DEBORAH SHOSHANA BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901-2142
(707) 326-1723
Mailing address
1330 LINCOLN AVE STE 201, SAN RAFAEL, CA 94901-2142
(707) 326-1723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/08/2008
Last updated
07/13/2009
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