Individual
SIDNEY ALEXIS BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
609 JEANIE DR, CLOVIS, NM 88101-9378
(575) 265-9903
Mailing address
609 JEANIE DR, CLOVIS, NM 88101-9378
(575) 265-9903
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2023-1128
NM
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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