LISA BAUER LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1477983807- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LICSW
- Status
- Active
Contact & Location
- Address
- 5500 94TH AVE N, BROOKLYN PARK, MN, 554431992
- Phone
- (763) 762-8810
- Fax
- (763) 315-6685
Specialties & Taxonomies
Social Worker, Clinical
Primary License: MN #19974