Individual
REBECCA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-CC
Contact information
Practice address
37 PARK ST STE 201, LEWISTON, ME 04240-7196
(207) 854-1030
Mailing address
100 GANNETT DR STE 2, SOUTH PORTLAND, ME 04106-5900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC16808
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MC16808
—
ME
Enumeration date
09/19/2017
Last updated
09/19/2017
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