Individual
CHARISE K BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 COLES DR, MARQUETTE, MI 49855-4010
(906) 360-8529
Mailing address
PO BOX 111, BIG BAY, MI 49808-0111
(906) 360-8529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7153000025
MI
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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