Individual
SUSAN MARIE BAKKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
180 10TH ST SE, LE MARS, IA 51031-2557
(712) 546-4624
Mailing address
1823 530TH ST, CHEROKEE, IA 51012-7009
(712) 225-2750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
03900
IA
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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