Diane Elizabeth Bauer, LICSW
NPI #1053492520 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1053492520
- Entity Type
- Individual
- Name
- Diane Elizabeth Bauer, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LICSW
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4505 WHITE BEAR PKWY
- Address 2
- SUITE 1800
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-3678
- Phone
- (651) 426-8191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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