Individual
HENNING VON BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
1320 MENDOTA ST, STE 106 PROPS, MADISON, WI 53714-1096
(608) 280-3140
(608) 280-3143
Mailing address
25 KESSEL CT, STE 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6923-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40942300
—
WI
Enumeration date
07/18/2006
Last updated
09/19/2016
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