Ronald Delos Bauder JR., LCSW

NPI #1275966400 in Brighton, Missouri

Provider Information

NPI Number: 1275966400
Entity Type: Individual
Name: Ronald Delos Bauder JR., LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Aug 12, 2013
Last Updated: Oct 21, 2014

Practice Location

Address: 5549 HIGHWAY K OLD HIGHWAY 13
Address 2: GOOD SAMARITAN BOYS RANCH
City: Brighton
State: Missouri
ZIP Code: 65617
Phone: (417) 376-2238

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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