Individual
MARIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 S WEBSTER AVE, GREEN BAY, WI 54301-3508
(920) 448-7000
Mailing address
707 BROOKRIDGE ST, GREEN BAY, WI 54301
(920) 544-8664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2825-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42580400
—
WI
Enumeration date
07/23/2008
Last updated
01/21/2022
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