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Individual

BRENDAN BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW, LCSW, LICSW

Contact information

Practice address
9600 VETERANS DR, TACOMA, WA 98493-0001
(314) 223-1900
Mailing address
9600 VETERANS DR, TACOMA, WA 98493-0001
(314) 223-1900

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1999140925
MO
1041C0700X
Clinical Social Worker
Primary
LW60461631
WA

Other

Enumeration date
01/16/2015
Last updated
01/16/2015
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