Individual
STEPHANIE ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 N WASHINGTON ST STE Y, BISMARCK, ND 58501-1616
(701) 751-2315
Mailing address
1929 N WASHINGTON ST STE Y, BISMARCK, ND 58501-1616
(701) 751-2315
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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