Individual
STEPHANIE BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S MOORE AVE APT 1, CLAREMORE, OK 74017-5056
(918) 933-7809
Mailing address
104 S MOORE AVE APT 1, CLAREMORE, OK 74017-5056
(918) 933-7809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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