Individual
MS. JO BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
358 E OXFORD ST, PONTOTOC, MS 38863-2326
(662) 871-1369
(662) 297-7169
Mailing address
127 BRANDYWINE RD, BELDEN, MS 38826-9722
(662) 871-1369
(662) 297-7169
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7358
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C7358
LICENSE NUMBER
MS
Enumeration date
03/08/2012
Last updated
03/08/2012
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