DIANE ELIZABETH BAUER

WHITE BEAR LAKE, MN
NPI1053492520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: MN  2107)
Enumeration Date2006-10-18
Last Update Date2007-07-08
Business Address
-- DIANE ELIZABETH BAUER LICSW
4505 WHITE BEAR PKWY SUITE 1800
WHITE BEAR LAKE, MN 55110-3678
Phone number: 651-426-8191
Mailing Address
-- DIANE ELIZABETH BAUER LICSW
1213 SILVERWOOD RD
WOODBURY, MN 55125-8684
Phone number: 651-731-1196
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