Individual
KIA VICTORIA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
300 N GAY ST, BALTIMORE, MD 21202-4828
(443) 756-4692
Mailing address
3805 N ROGERS AVE, BALTIMORE, MD 21207-7023
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22871
MD
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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