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Individual
KELSEY L BAKKER
Active
Individual
KELSEY L BAKKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT- 19-75438
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-75438
IL
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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