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Individual

MRS. HOLLY LOUISE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC-S

Contact information

Practice address
320 EXECUTIVE DR, MARION, OH 43302-6310
(740) 387-5210
Mailing address
485 CLOVER AVE, MARION, OH 43302-5632
(740) 360-4758

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0700865
OH
101YP2500X
Professional Counselor
C0700865
OH

Other

Enumeration date
04/29/2008
Last updated
03/29/2017
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