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Individual

JONI LYNN BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
522 W 32ND ST STE 2, JOPLIN, MO 64804-2533
(417) 782-4055
(417) 782-3675
Mailing address
522 W 32ND ST STE 2, JOPLIN, MO 64804-2533
(417) 782-4055
(417) 782-3675

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2011037835
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2011037835
MISSOURI LCSW
MO
Enumeration date
08/17/2020
Last updated
08/17/2020
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