Individual
MRS. CAROLE MARTHA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LICENSED MFT
Contact information
Practice address
1515 FAIRVIEW AVE STE 235, MISSOULA, MT 59801-7821
(406) 532-1572
(406) 532-1541
Mailing address
10516 NEZ PERCE LOOP, LOLO, MT 59847-8477
(406) 564-0037
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
7
MT
Other
Enumeration date
03/12/2010
Last updated
09/27/2011
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