Organization
SUSAN M BAKER, LCSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN M BAKER LCSW (PRESIDENT)
(812) 372-3473
Entity
Organization
Contact information
Practice address
404 WASHINGTON ST STE 201-2, COLUMBUS, IN 47201-6791
(812) 372-3473
Mailing address
674 ROYAL SAINT GEORGE DR, GREENWOOD, IN 46143-1939
(812) 372-3473
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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