Individual
REBECCA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503
(580) 558-8425
Mailing address
11801 HOLLYROCK DR, YUKON, OK 73099-6519
(405) 265-1270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3937
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2007
Last updated
02/06/2025
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