Individual
MAKENSIE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
724 E 2100 S, SUITE B, SALT LAKE CITY, UT 84106-1830
(801) 487-0499
Mailing address
160 E 100 N, #7, BOUNTIFUL, UT 84010-4849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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