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Individual

MR. BRIAN J BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
5293 S LINDBERGH BLVD, SAINT LOUIS, MO 63126-3551
(314) 843-4600
Mailing address
730 KIRKSHIRE DR, KIRKWOOD, MO 63122-2460
(314) 941-8826

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2008012290
MO

Other

Enumeration date
05/10/2010
Last updated
05/10/2010
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