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Individual

SALENA PHILLIPS-BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6995 W 48TH ST, FREMONT, MI 49412-9506
(231) 335-1718
(231) 422-0022
Mailing address
6995 W 48TH ST, FREMONT, MI 49412-9506

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401012362
MI

Other

Enumeration date
10/30/2013
Last updated
09/30/2021
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