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MARK BAKER

>> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1457500233

Individual Registrant:
 MARK  BAKER 
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

Contact information for business:
126 WILD HORSE COVE CIR  CLEVELAND, GA 30528-2231 US
Tel: 706-348-7542  Fax: --

Registration Information:
NPI: 1457500233
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y104100000XBehavioral Health & Social Service Providers
Social Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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