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GLENDA P BAKER MFT

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1629103064

Individual Registrant:
 GLENDA P BAKER MFT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1290 COMMODORE DR  SAN BRUNO, CA 94066-2304 US
Tel: 650-583-1260  Fax: --

Contact information for business:
1290 COMMODORE DR  SAN BRUNO, CA 94066-2304 US
Tel: 650-583-1260  Fax: --

Registration Information:
NPI: 1629103064
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFC30081

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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