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Individual

ELIZABETH DIANE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3006 BEE CAVES RD, SUITE D-310, AUSTIN, TX 78746-5588
(512) 469-0889
Mailing address
318 FRANCHI WAY, NEW BRAUNFELS, TX 78130-5181
(413) 588-6260

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
120163
MA
1041C0700X
Clinical Social Worker
Primary
64000
TX

Other

Enumeration date
02/12/2013
Last updated
01/23/2020
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