Individual
JENINNE MARIE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 S 17TH ST STE 2100, PHILADELPHIA, PA 19103-6211
(215) 545-1175
Mailing address
55 E DARTMOUTH RD, BALA CYNWYD, PA 19004-2136
(215) 432-4445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW021394
PA
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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