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MARTHA LESLIE BAKER MA, LPC

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1275836769

Individual Registrant:
 MARTHA LESLIE BAKER MA, LPC
Gender: F
Sole Proprietor

Location and contact information for practice:
121 OLD DAWSON VILLAGE RD E BUILDING 800, UNIT 010 DAWSONVILLE, GA 30534 US
Tel: 706-265-2244  Fax: --

Contact information for business:
423 MOUNTAIN CREST DR  CLARKESVILLE, GA 30523-2931 US
Tel: 706-969-8542  Fax: --

Registration Information:
NPI: 1275836769
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC006234

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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