Individual
JUSTIN LEE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
808 S MICHAEL ST, SAINT MARYS, PA 15857-2132
(814) 834-9722
(814) 834-9723
Mailing address
43 SERVIDEA DR, RIDGWAY, PA 15853-6333
(814) 776-2145
(814) 776-1470
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW19350
PA
Other
Enumeration date
01/13/2017
Last updated
02/10/2017
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