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Individual

JEREMY M. BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4645
(913) 328-4604
Mailing address
7840 WASHINGTON AVE, KANSAS CITY, KS 66112-2152
(913) 328-4645
(913) 328-4604

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9593
KS

Other

Enumeration date
06/11/2015
Last updated
06/11/2015
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