Individual
KRISTEN BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6412 BANNINGTON RD, CHARLOTTE, NC 28226-1327
(704) 364-9176
(704) 541-1098
Mailing address
6412 BANNINGTON RD, CHARLOTTE, NC 28226-1327
(704) 364-9176
(704) 541-1098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A9598
NC
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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