Individual
MRS. AMY JENEE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72401-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2624-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12120011300
QUALCHOICE
AR
01
—
5AA02
BCBS
AR
Enumeration date
09/24/2008
Last updated
05/14/2018
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