Organization
AMANDA BAKER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BAKER (PRESIDENT)
(870) 336-7526
Entity
Organization
Contact information
Practice address
408 S MAIN ST, JONESBORO, AR 72401-2963
(870) 336-7526
Mailing address
408 S MAIN ST, JONESBORO, AR 72401-2963
(870) 336-7526
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
P1112094
AR
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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