Individual
PAMELA GAY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4407 JEWELL AVE, LOUISVILLE, KY 40212-2723
(502) 708-9524
Mailing address
PO BOX 34003, LOUISVILLE, KY 40232-4003
(502) 708-9524
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6843
KY
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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