Individual
EVANGELINE MAE BAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2811 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1006
(314) 802-8805
Mailing address
4002 BOTANICAL AVE, SAINT LOUIS, MO 63110-3906
(708) 805-4363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011034908
MO
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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