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Individual

KEISA D. BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1000 E 24TH ST STE 2E, KANSAS CITY, MO 64108-2776
(816) 404-5850
(816) 404-6049
Mailing address
1000 E 24TH ST STE 2E, TRUMAN MEDICAL CENTER RECOVERY HEALTH SERVICES, KANSAS CITY, MO 64108-2640
(816) 404-5840
(816) 404-6049

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2020029496
MO

Other

Enumeration date
10/16/2020
Last updated
11/19/2020
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