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Individual

DONNA BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2626 E 46TH ST, STE J, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
Mailing address
116 OAK POINTE TRL, SAVANNAH, GA 31419-3160
(317) 679-7420

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1041C0700X
Clinical Social Worker
CSW009347
GA

Other

Enumeration date
03/23/2012
Last updated
11/04/2024
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