Individual
DANIELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
1850 W WAYZATA BLVD, LONG LAKE, MN 55356-4413
(320) 420-5237
Mailing address
7502 URBANDALE LN N, MAPLE GROVE, MN 55311-2258
(320) 420-5237
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2924
MN
Other
Enumeration date
11/09/2015
Last updated
10/03/2023
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