Individual
EBONY BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3100 GENERAL DEGAULLE DR, NEW ORLEANS, LA 70114-6632
(504) 620-5215
Mailing address
2030 DESLONDE ST, NEW ORLEANS, LA 70117-4004
(504) 239-1927
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
11433
LA
1041C0700X
Clinical Social Worker
Primary
11433
LA
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
02/01/2013
Last updated
08/07/2020
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