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MRS. AMBER LAVERNE BAKER LCSW

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

Registrant NPI Number: 1982853479

Individual Registrant:
MRS. AMBER LAVERNE BAKER LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1200 JAMES STREET  JACKSONVILLE, AR 72076-3143 US
Tel: 501-982-5000  Fax: 501-982-5007

Contact information for business:
1815 PLEASANT GROVE ROAD  JONESBORO, AR 72401-7870 US
Tel: 870-933-6886  Fax: 870-933-9395

Registration Information:
NPI: 1982853479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
AR2094 M
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
AR2410-C

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
170062795AR05
BCBS5V935AR01




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