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Organization
JEAN M BAKER
Active
Organization
JEAN M BAKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN M BAKER LCSW-R (MANAGER/PRACTITIONER)
(315) 292-4834
Entity
Organization
Contact information
Practice address
3 FOUNTAIN ST STE 201, CLINTON, NY 13323-1747
(315) 292-4834
(315) 266-1366
Mailing address
3 FOUNTAIN ST STE 201, CLINTON, NY 13323-1747
(315) 292-4834
(315) 266-1366
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R058181
NY
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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