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ANDREA DENISE BAKER LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1447844063
Individual Registrant: ANDREA DENISE BAKER LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
720 S GLENWOOD AVE STE 104 DALTON, GA 30721-3389 US
Tel: 706-266-0880 Fax: --
Tel: 706-266-0880 Fax: --
Contact information for business:
720 S GLENWOOD AVE STE 104 DALTON, GA 30721-3389 US
Tel: 706-266-0880 Fax: --
Tel: 706-266-0880 Fax: --
Registration Information:
NPI: 1447844063
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | GA | CSW007428 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
