Individual
MARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
201 E MAIN ST, ROWLAND, NC 28383-9400
(910) 720-1101
Mailing address
201 E MAIN ST, ROWLAND, NC 28383-9400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
20241150401
NC
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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