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Organization
MILDRED BAKER LCSW LLC
Active
Organization
MILDRED BAKER LCSW LLC
Active
Other names
Mildred Baker Sole Member
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED BAKER LCSW (OFFICER)
(814) 934-0303
Entity
Organization
Contact information
Practice address
601 WILSON AVE, ROARING SPRING, PA 16673-1351
(814) 934-0303
(814) 317-0341
Mailing address
601 WILSON AVE, ROARING SPRING, PA 16673-1351
(814) 934-0303
(814) 317-0341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CW016550
PA
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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