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Individual
MEREDITH S BAKER
Active
Individual
MEREDITH S BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00069774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
01
—
000506354006
COMMUNITY BLUE
NY
Enumeration date
10/16/2006
Last updated
01/10/2011
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