Individual
MAC BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, CSW, QMHP
Contact information
Practice address
500 N 5TH ST, HOT SPRINGS, SD 57747-1480
(605) 745-2000
(605) 745-2075
Mailing address
1520 HAINES AVE STE 6, RAPID CITY, SD 57701-0710
(605) 716-7841
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6710
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041419836054152457
—
SD
Enumeration date
07/09/2020
Last updated
11/19/2024
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