Individual
MR. DOUGLAS C BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
11 BELLIS CIRCLE, CAMBRIDGE, MA 02140
(617) 331-4654
Mailing address
395 BROADWAY, #L3E, CAMBRIDGE, MA 02139
(617) 497-1006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113649
MA
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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