Individual
MRS. STEPHANIE LEANNE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 AZTEC TRL, SOMERSET, KY 42501-3206
(606) 875-6992
Mailing address
307 AZTEC TRL, SOMERSET, KY 42501-3206
(606) 875-6992
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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