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Individual

DAVID BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 752-3451
(254) 756-3133
Mailing address
PO BOX 890, WACO, TX 76703-0890
(254) 752-3451
(254) 756-3133

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
66954
TX

Other

Enumeration date
06/20/2013
Last updated
06/20/2013
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