Individual
MS. TEDISHA R. BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 N GUIGNARD DR, SUMTER, SC 29150-1519
(803) 775-7898
(803) 773-5246
Mailing address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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