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Individual

MS. DOMINI BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, LMSW

Contact information

Practice address
10096 W FAIRVIEW AVE STE 160, BOISE, ID 83704-5004
(208) 908-7882
(208) 908-7883
Mailing address
5377 N FERRARA AVE, MERIDIAN, ID 83646-2920
(208) 841-3716

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/02/2025
Last updated
11/21/2025
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