Individual
SAMANTHA ANN MARIE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
200 BOOTH ST, ELKTON, MD 21921-5657
(410) 996-5104
Mailing address
1275B W PULASKI HWY, ELKTON, MD 21921-4719
(443) 370-1804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LGP10288
—
MD
Enumeration date
01/08/2019
Last updated
03/09/2020
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