Individual
VICKI BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
7477 E 46TH PL, TULSA, OK 74145-6305
(918) 384-0002
Mailing address
7477 E 46TH PL, TULSA, OK 74145-6305
(918) 384-0002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
328
OK
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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