Individual
MRS. BRITTANY LYNN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2624 9TH AVE S, SOUTHEAST HUMAN SVC CTR, FARGO, ND 58103
(701) 298-4500
(701) 298-4400
Mailing address
2624 9TH AVE S, SOUTHEAST HUMAN SVC CTR, FARGO, ND 58103-2350
(701) 298-4500
(701) 298-4400
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4628
ND
247200000X
Other Technician
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457319
—
ND
Enumeration date
09/14/2011
Last updated
08/07/2018
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