Individual
MRS. SUSAN ELIZABETH BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
(360) 642-3787
(360) 642-2096
Mailing address
2204 PACIFIC AVE N, LONG BEACH, WA 98631-3300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
134300
WA
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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