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Individual

CARA BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
230 E. MARYDALE, SUITE 2, SOLDOTNA, AK 99669-7648
(907) 260-3697
(907) 260-7301
Mailing address
PO BOX 2949, SOLDOTNA, AK 99669-2949
(907) 260-7300
(907) 260-7301

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
509
AK
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
MH0156
AK
Enumeration date
05/10/2007
Last updated
12/12/2012
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