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Individual

DOROTHY A BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3103 DIXIE HWY, HAMILTON, OH 45015-1653
(513) 892-4673
Mailing address
100 CROWNE POINT PL, CINCINNATI, OH 45241-5427
(513) 743-7628

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCDCIII.162144
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.164169
OH
104100000X
Social Worker
Primary
S.2403369-TRNE
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CDCA.164169
CDCA
OH
Enumeration date
10/10/2017
Last updated
02/06/2024
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