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1497214803
KEITH ALAN BAUER
PULASKI, VA
NPI
1497214803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: VA 0904010982)
Enumeration Date
2019-03-15
Last Update Date
2019-03-15
Business Address
KEITH ALAN BAUER PHD, LCSW
327 N WASHINGTON AVE
PULASKI, VA 24301-5009
Phone number: 540-994-5023
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Mailing Address
KEITH ALAN BAUER PHD, LCSW
700 UNIVERSITY CITY BLVD
BLACKSBURG, VA 24060-2706
Phone number: 540-961-8300
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