Individual
MS. EMMA JANE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
812 KENNILWORTH RD SW, DECATUR, AL 35603-1316
(256) 353-8528
(866) 268-4763
Mailing address
812 KENNILWORTH RD SW, DECATUR, AL 35603-1316
(256) 350-8765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07091825C
AL
1041C0700X
Clinical Social Worker
4567812
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11794122
CAQH
AL
Enumeration date
06/28/2006
Last updated
04/26/2022
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