Individual
JORDYN REBECCA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-1855
(803) 898-2194
Mailing address
3148 TROTTER RD, HOPKINS, SC 29061-8544
(803) 234-3942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8642
SC
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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