NPI 1275966400

Ronald Delos Bauder, LCSW

Practitioner Clinical Social Worker Brighton, MO

Practice location

Address: 5549 Highway K Old Highway 13 Good Samaritan Boys Ranch, Brighton, MO 65617
Phone: (417) 376-2238
Fax: (417) 376-2014
Mailing address: PO Box 617 Good Samaritan Boys Ranch, Brighton, MO 65617

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2014015230 (MO)

Other Social Worker providers in Missouri →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 2012000124 (MO)

Registry record

NPI: 1275966400
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Aug 2013
Record last updated: 21 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.