Individual
JENNIFER LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSA, LISW-S
Contact information
Practice address
1083 MENTOR AVE, PAINESVILLE, OH 44077-1829
(440) 358-7370
Mailing address
1083 MENTOR AVE, PAINESVILLE, OH 44077-1829
(440) 358-7370
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1451032
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28640931
—
OH
Enumeration date
07/31/2013
Last updated
08/04/2022
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