MS. Mary Bauer, MA, LADC, MFT INTERN

NPI #1033529664 in Jordan, Minnesota

Provider Information

NPI Number: 1033529664
Entity Type: Individual
Name: MS. Mary Bauer, MA, LADC, MFT INTERN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychoanalyst
Credential: MA, LADC, MFT INTERN
Enumeration Date: May 5, 2014
Last Updated: Jan 22, 2020

Practice Location

Address: 110 1ST ST E STE 102
City: Jordan
State: Minnesota
ZIP Code: 55352-1502
Phone: (651) 356-5234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychoanalyst	102L00000X	Primary

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