Individual
MRS. PAMELA MICHELLE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
24412 POWERLINE RD, ANGIE, LA 70426-5502
(616) 558-8207
Mailing address
24412 POWERLINE RD, ANGIE, LA 70426-5502
(616) 558-8207
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16258
LA
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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