Individual
MARK BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
467 W DOYLE ST, TOCCOA, GA 30577-1791
(706) 827-9937
(706) 827-0085
Mailing address
126 WILD HORSE COVE CIR, CLEVELAND, GA 30528-2231
(706) 348-7542
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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