Individual
JEREMIAH PETER BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
250 POMEROY AVE STE 201I, MERIDEN, CT 06450-8316
(860) 919-6770
Mailing address
250 POMEROY AVE STE 201I, MERIDEN, CT 06450-8316
(860) 919-6770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
011844
CT
Other
Enumeration date
12/21/2021
Last updated
11/08/2024
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