Individual
ALYSSA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
62699 240TH ST, MADISON LAKE, MN 56063-4424
(218) 244-5997
Mailing address
62699 240TH ST, MADISON LAKE, MN 56063-4424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27682
MN
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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