Individual
CAROL MEZA BAKKE, PHD.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
350 W 680TH AVE, FARLINGTON, KS 66734-4097
(763) 691-5085
Mailing address
350 W 680TH AVE, FARLINGTON, KS 66734-4097
(763) 691-5085
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.111495
IL
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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