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Individual

DOROTHY CHAFFEE BAKER

Active
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Individual

DOROTHY CHAFFEE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW00009193
WA
1041C0700X
Clinical Social Worker
Primary
2016039766
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
490076847
MO
01
LW00009193
WA STATE LICENSE
WA
Enumeration date
04/26/2007
Last updated
01/28/2022
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