Individual
TARA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 NE SPRING CREEK PL, LEES SUMMIT, MO 64086-7089
(816) 944-0004
Mailing address
508 NE SPRING CREEK PL, LEES SUMMIT, MO 64086-7089
(816) 944-0004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MO
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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