Individual
HANNAH BAKER-BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2035 ELEPHANT WALK, IMPERIAL, MO 63052-2183
(309) 798-9555
Mailing address
2035 ELEPHANT WALK, IMPERIAL, MO 63052-2183
(309) 798-9555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2022014771
MO
106S00000X
Behavior Technician
—
IL
Other
Enumeration date
02/09/2018
Last updated
08/10/2022
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