Individual
MRS. CLARISSA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CMHN
Contact information
Practice address
12 N PARK ST, SENECA FALLS, NY 13148-1437
(315) 568-9412
(315) 568-2241
Mailing address
12 N PARK ST, SENECA FALLS, NY 13148-1437
(315) 568-9412
(315) 568-2241
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
438976
NY
Other
Enumeration date
08/05/2011
Last updated
08/05/2011
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