Individual
CASSIDY LAUREN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 N ACADEMY ST, GREENVILLE, SC 29601-2629
(864) 331-1364
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6729
SC
235Z00000X
Speech-Language Pathologist
SP.13203
OH
Other
Enumeration date
08/21/2018
Last updated
11/13/2018
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