Individual
TIMOTHY PETER BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
QP 10001, PMB 378, SAIPAN, MP 96950
(670) 788-6258
Mailing address
PO BOX 10001, PMB 378, SAIPAN, MP 96950
(670) 788-6258
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008
MP
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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