Individual
MRS. BRANDIE M BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
475 MUD RIVER RD, RUSSELLVILLE, KY 42276-9628
(270) 726-8237
Mailing address
475 MUD RIVER RD, RUSSELLVILLE, KY 42276-9628
(270) 726-8237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY3096
KY
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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