Individual
MIRIAM BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3932
(732) 813-4263
Mailing address
219A HUDSON ST, LAKEWOOD, NJ 08701-1861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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