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MARK BAKER
>> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1457500233
Individual Registrant: MARK BAKER
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
467 W DOYLE ST TOCCOA, GA 30577-1791 US
Tel: 706-827-9937 Fax: 706-827-0085
Tel: 706-827-9937 Fax: 706-827-0085
Contact information for business:
126 WILD HORSE COVE CIR CLEVELAND, GA 30528-2231 US
Tel: 706-348-7542 Fax: --
Tel: 706-348-7542 Fax: --
Registration Information:
NPI: 1457500233
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 104100000X | Behavioral Health & Social Service Providers Social Worker |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
