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1215302609
JOE BAUER
SILVERTON, ID
NPI
1215302609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: ID LSW-28236)
Enumeration Date
2015-12-10
Last Update Date
2015-12-10
Business Address
-- JOE BAUER LMSW
104 WIND RIVER RD
SILVERTON, ID 83867-0119
Phone number: 208-752-1019
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Mailing Address
-- JOE BAUER LMSW
PO BOX 119
SILVERTON, ID 83867-0119
Phone number: 208-752-1019
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