Individual
DOROTHY CHAFFEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
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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