Individual
MRS. ELAINE L BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
1401 N SPORT OF KINGS CT, WICHITA, KS 67230-7152
(316) 733-0618
(316) 733-5101
Mailing address
1401 N SPORT OF KINGS CT, WICHITA, KS 67230-7152
(316) 733-0618
(316) 733-5101
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
200
KS
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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