Individual
MS. SANDRA CAROLINE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
(414) 962-2305
Mailing address
2625 N WEIL ST, MILWAUKEE, WI 53212-3060
(414) 962-1200
(414) 962-2305
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12129132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12129132
DEPT OF REGULATION LIC
WI
05
—
39388400
—
WI
Enumeration date
11/01/2007
Last updated
08/22/2014
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