Individual
MR. SAMUEL DIXON BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
215 NORTH AVE NE APT 3206, ATLANTA, GA 30308-2459
(812) 457-0543
Mailing address
215 NORTH AVE NE APT 3206, ATLANTA, GA 30308-2459
(812) 457-0543
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007237
GA
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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