Individual
ANGELITA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
49TH MEDICAL GROUP/SGOPF, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-5676
(575) 572-2259
Mailing address
49TH MEDICAL GROUP/SGOW, 280 FIRST STREET, BLDG 23, HOLLOMAN AFB, NM 88330-8273
(575) 572-5676
(575) 572-2259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C-09475
NM
Other
Enumeration date
09/04/2016
Last updated
04/09/2018
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