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NPI Code Detail

MEDICARE: MRS. EILEEN MARIA BAUER LCSW

MEDICARE:  MRS. EILEEN MARIA BAUER  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW022165PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194332940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EILEEN MARIA BAUER LCSW
Provider Business Mailing Address
First Line : 350 S COLUMBUS BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-4138
Country : US
Telephone Number : 52-097-7136
Fax Number :
Provider Business Practice Location Address
First Line : 350 S COLUMBUS BLVD
Second Line :
City : TUCSON
State : AZ
Zip : 85711-4138
Country : US
Telephone Number : 52-097-7136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2020
Last Update Date : 01/31/2023

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Directions to “ MRS. EILEEN MARIA BAUER LCSW” Practice Location

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