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Individual

CANDICE DENISE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25 WHITNEY DR, MILFORD, OH 45150-8402
(513) 941-4999
Mailing address
6460 HARRISON AVE STE 200, CINCINNATI, OH 45247-7821

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.193533
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0102213
OH
Enumeration date
08/19/2024
Last updated
12/30/2025
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