Individual
MRS. REGINA DENISE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1740 GHOST CREEK DR, COLLIERVILLE, TN 38017-3425
(901) 853-3169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000003483
TN
1041C0700X
Clinical Social Worker
1794-C
AR
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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