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Individual

THERESA ANTIMA BAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
261 CHAPMAN RD, NEWARK, DE 19702-5423
(302) 455-9333
Mailing address
4853 PLUM RUN CT, WILMINGTON, DE 19808-1715
(941) 626-7805

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
FT0010163
DE
106H00000X
Marriage & Family Therapist
MT4857
FL

Other

Enumeration date
05/06/2021
Last updated
05/02/2025
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