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Individual

JAMES DANIEL BAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LLPC

Contact information

Practice address
2761 E JEFFERSON AVE, DETROIT, MI 48207-4105
(313) 993-3964
Mailing address
2761 E JEFFERSON AVE, DETROIT, MI 48207-4105

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401010126
MI

Other

Enumeration date
01/29/2008
Last updated
01/29/2008
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