Individual
NICOLE ELISE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
725 W PARK AVE, CHIPPEWA FALLS, WI 54729-3276
(715) 720-2058
Mailing address
3005 W HOYEM LN, EAU CLAIRE, WI 54703-3097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2757-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42573600
—
WI
Enumeration date
07/23/2007
Last updated
07/23/2007
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