Individual
BRADLEY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 891-5546
(734) 544-2906
Mailing address
555 TOWNER ST, YPSILANTI, MI 48198-5723
(734) 544-3000
(734) 544-6716
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6851103794
MI
Other
Enumeration date
04/18/2019
Last updated
01/21/2022
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