Individual
TATANISHA F BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
CMHT, MSW
Contact information
Practice address
3450 HIGHWAY 80 W, JACKSON, MS 39209-7201
(601) 321-2400
Mailing address
3340 HARLEY ST APT A5, JACKSON, MS 39209-7207
(769) 206-5698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
MS
Other
Enumeration date
05/29/2026
Last updated
05/29/2026
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