Organization
LIFE RIPPLES LLC
Active
Other names
Life Ripples
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFANIE BAUER PSYD, LP (PSYCHOLOGIST)
(612) 567-0267
Entity
Organization
Contact information
Practice address
1123 GRAND AVE, SUITE 201, SAINT PAUL, MN 55105-2629
(612) 567-0267
Mailing address
1123 GRAND AVE, SUITE 201, SAINT PAUL, MN 55105-2629
(612) 567-0267
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LP5037
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861633349
—
MN
Enumeration date
07/05/2012
Last updated
07/05/2012
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