Individual
BETHANY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WINDBORNE CT, KATHLEEN, GA 31047-2788
(478) 997-9091
Mailing address
123 WINDBORNE CT, KATHLEEN, GA 31047-2788
(478) 997-9091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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