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Organization
BAKER-CRELLIN, PA
Active
Organization
BAKER-CRELLIN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY E BAKER-CRELLIN ACSW, LCSW, CSAC (PRESIDENT/OWNER)
(704) 660-8321
Entity
Organization
Contact information
Practice address
107 KILSON DR, SUITE 202, MOORESVILLE, NC 28117-8162
(704) 660-8321
Mailing address
267 SPRING RUN DR, MOORESVILLE, NC 28117-8133
(704) 660-8321
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C005161
NC
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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