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Individual

MRS. GINA MARIE BAKER HAUPT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1707 HILLSDALE RD, EAU CLAIRE, WI 54703-2537
(715) 559-7693
Mailing address
1707 HILLSDALE RD, EAU CLAIRE, WI 54703-2537
(715) 559-7693

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
4219-125
WI
101YM0800X
Mental Health Counselor
4219-125
WI
101YP2500X
Professional Counselor
Primary
4219-125
WI

Other

Enumeration date
07/14/2022
Last updated
07/14/2022
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