Individual
MRS. EMILY BAUERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3009 N WEST ST, FLAGSTAFF, AZ 86004
(928) 719-4009
Mailing address
3009 N WEST ST, FLAGSTAFF, AZ 86004-3444
(928) 719-4009
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
17312
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW-19548
AZ
Other
Enumeration date
02/12/2019
Last updated
06/25/2021
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