Individual
LAURIE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
450 LA MADERA ST, SANTA FE, NM 87501-2420
(505) 795-2062
Mailing address
3122 PLAZA BLANCA, SANTA FE, NM 87507-5354
(505) 795-2062
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWB-2023-0869
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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