Individual
DEBRA KAY BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
204 S 24TH ST, ROGERS, AR 72758-1129
(479) 621-0301
(479) 899-6300
Mailing address
204 S 24TH ST, ROGERS, AR 72758-1129
(479) 621-0301
(479) 899-6300
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1829M
AR
1041C0700X
Clinical Social Worker
Primary
2259-C
AR
Other
Enumeration date
06/22/2006
Last updated
04/25/2018
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