Individual
JUDITH ANN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
901 W SAN MATEO RD, SUITE #D-4, SANTA FE, NM 87505-3981
(505) 946-8155
Mailing address
261 CAMINO DEL OLMO, SANTA FE, NM 87501-2377
(505) 946-8155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05092
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71606556
—
NM
Enumeration date
07/29/2005
Last updated
02/19/2013
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