Individual
MS. KRISTEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1425 W ELLIOT RD, SUITE 204, GILBERT, AZ 85233-5129
(602) 428-8640
Mailing address
1425 W ELLIOT RD, SUITE 204, GILBERT, AZ 85233-5129
(602) 428-8640
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-15544
AZ
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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