Individual
MR. JORDAN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1500 MUSEUM RD, CONWAY, AR 72032-4785
(501) 932-9010
(501) 585-9076
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9560-M
AR
1041C0700X
Clinical Social Worker
Primary
9560-C
AR
Other
Enumeration date
10/22/2019
Last updated
04/22/2026
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