Individual
JORDAN DIANA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, PCSW
Contact information
Practice address
150 GILLETTE ST., RANCHESTER, WYOMING, WY 82801-9648
(307) 699-1096
Mailing address
150 GILLETTE ST., RANCHESTER, WY 82839
(307) 699-1096
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
PCSW-1236
WY
Other
Enumeration date
08/07/2025
Last updated
03/12/2026
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