Individual
CHARLES BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
9420 LINDALE AVE STE B, BATON ROUGE, LA 70815-4161
(225) 442-3540
Mailing address
9420 LINDALE AVE STE B, BATON ROUGE, LA 70815-4161
(225) 442-3540
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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