Individual
CHAUNCEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-1600
Mailing address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-1600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
132600-121
WI
104100000X
Social Worker
—
WI
1041C0700X
Clinical Social Worker
—
WI
Other
Enumeration date
09/13/2021
Last updated
01/08/2024
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