Individual
KIMBERLY JEAN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.W
Contact information
Practice address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
(931) 461-1303
Mailing address
1803 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 461-1300
(931) 461-1303
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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