Individual
ELAINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N MILL ST, FESTUS, MO 63028-1816
(636) 931-2700
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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