Individual
MRS. TRACIE LYNN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7905 N MEADOWLARK WAY STE B, COEUR D ALENE, ID 83815-5041
(208) 772-3116
(208) 772-3116
Mailing address
15254 N STEVENS ST, RATHDRUM, ID 83858-5056
(208) 610-8672
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-37093
ID
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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