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Individual

ANNA ELIZABETH BAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
6309 MACK AVE, DETROIT, MI 48207-2302
(888) 813-8326
(313) 379-1042
Mailing address
6309 MACK AVE, DETROIT, MI 48207-2302
(888) 813-8326
(313) 379-1042

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801108388
MI
1041C0700X
Clinical Social Worker
Primary
6801108388
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6801095763
MI
05
6801108388
MI
Enumeration date
08/07/2017
Last updated
10/17/2024
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