Individual
COURTNEY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
688 E UNION SQ, SANDY, UT 84070-3403
(801) 203-0951
Mailing address
3480 MEADOW VIEW DR, REDDING, CA 96002-9621
(530) 515-9106
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8966688-3502
UT
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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