LYNETTE BAUER

PORT WASHINGTON, WI
NPI1528059631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  1699)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
-- LYNETTE BAUER CADC III
121 W MAIN ST SUITE 350
PORT WASHINGTON, WI 53074-1813
Phone number: 262-284-8130
Mailing Address
-- LYNETTE BAUER CADC III
PO BOX 994
PORT WASHINGTON, WI 53074-0994
Phone number: 262-284-8130