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Individual

MS. AMALIA CELESTE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
325 E 6TH ST, PORT ANGELES, WA 98362-6203
(360) 457-8355
Mailing address
190 E FIR ST, SEQUIM, WA 98382-3419
(360) 775-8028

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
60750079
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1083142574
WA
Enumeration date
05/26/2017
Last updated
09/03/2017
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