Individual
JENNIFER S BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
(207) 782-2150
(207) 782-3621
Mailing address
72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
(207) 782-2150
(207) 782-3621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ICC2269
ME
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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