Individual
RANDALL ERNEST BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
5500 N OAK TRFY STE 204, KANSAS CITY, MO 64118-4681
(816) 510-0220
Mailing address
5500 N OAK TRFY STE 204, KANSAS CITY, MO 64118-4681
(816) 510-0220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003608
MO
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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