Individual
LIESL M. BAUER JUDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2101 4TH AVE E, SUITE 200, OLYMPIA, WA 98506-6512
(360) 786-9499
(360) 786-0758
Mailing address
2101 4TH AVE E, SUITE 200, OLYMPIA, WA 98506-6512
(360) 786-9499
(360) 786-0758
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60011344
WA
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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