Individual
AMANDA RACHEL BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
15195 ASPEN LN, APT. B, WATERTOWN, NY 13601-6618
(315) 420-3897
Mailing address
15195 ASPEN LN, APT. B, WATERTOWN, NY 13601-6618
(315) 420-3897
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001161-1
NY
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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