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Individual

MRS. KATHLEEN MARIE BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, CAGS, LMHC

Contact information

Practice address
2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
(401) 683-7460
(401) 683-6212
Mailing address
2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
(401) 683-7460
(401) 683-6212

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/17/2007
Last updated
12/11/2014
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