Individual
MR. MIKE T. BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
210 W CAPITOL DR, MILWAUKEE, WI 53212-1123
(414) 727-6320
(414) 727-6321
Mailing address
N88 W17966 CHRISTMAN ROAD, MENOMONEE FALLS, WI 53051
(262) 853-7716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1817-132
WI
1041C0700X
Clinical Social Worker
Primary
1602-123
WI
106H00000X
Marriage & Family Therapist
153-124
WI
Other
Enumeration date
12/05/2006
Last updated
03/05/2015
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