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1417011156
REGINA MARIE BAUER
WAUKESHA, WI
NPI
1417011156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2006-12-20
Last Update Date
2013-12-13
Business Address
-- REGINA MARIE BAUER CSAC
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3632
Phone number: 262-548-7673
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Mailing Address
-- REGINA MARIE BAUER CSAC
514 RIVERVIEW AVE
WAUKESHA, WI 53188-3631
Phone number:
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