Individual
ALVIN BAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 E BEACH BLVD, LONG BEACH, MS 39560-6259
(228) 865-4500
Mailing address
1520 29TH AVE, STE 36, GULFPORT, MS 39501-2843
(228) 865-4500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C8888
MS
1041C0700X
Clinical Social Worker
M8888
MS
Other
Enumeration date
08/17/2016
Last updated
10/14/2020
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