Individual
TARA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6659
(702) 968-5000
Mailing address
1601 E KATIE AVE, APT 240, LAS VEGAS, NV 89119-5671
(702) 419-4546
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4654-S
NV
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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