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Individual
MR. MATTHEW ROBERT BAKER
Active
Individual
MR. MATTHEW ROBERT BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
95729
CA
1041C0700X
Clinical Social Worker
Primary
121926
CA
1041C0700X
Clinical Social Worker
95729
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2015
Last updated
04/12/2024
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