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Individual

MRS. TAMARA KATRINA BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
1309 PONDEROSA DR STE 203, SANDPOINT, ID 83864-8278
(208) 278-6027
Mailing address
176 CROOKED LN, SANDPOINT, ID 83864-9213
(208) 278-6027

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF88283
CA

Other

Enumeration date
08/18/2015
Last updated
03/17/2023
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