Individual
MARTHA LESLIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
121 OLD DAWSON VILLAGE RD E, BUILDING 800, UNIT 010, DAWSONVILLE, GA 30534
(706) 265-2244
Mailing address
423 MOUNTAIN CREST DR, CLARKESVILLE, GA 30523-2931
(706) 969-8542
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006234
GA
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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