Individual
AMANDA COURTNEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1905 E ST SE, BUILDING #14, WASHINGTON, DC 20003-2593
(202) 673-9124
Mailing address
1905 E ST SE, BUILDING #14, WASHINGTON, DC 20003-2593
(202) 673-9124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50080618
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC50080618
LICENSED INDEPENDENT CLINICAL SOCIAL WORKER - LICENSE NUMBER
DC
Enumeration date
12/16/2016
Last updated
12/16/2016
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