Individual
DEXTER BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 MALL BLVD, UNION CITY, GA 30291-2044
(770) 892-3200
Mailing address
4405 MALL BLVD STE 310, UNION CITY, GA 30291-2070
(770) 892-3200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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