Individual
EMERALD BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
415 MEDICAL DR, BOUNTIFUL, UT 84010-4946
(385) 355-4216
Mailing address
6998 W SAW TIMBER WAY, WEST JORDAN, UT 84081-1901
(801) 809-7803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11218202-3501
UT
Other
Enumeration date
07/24/2023
Last updated
10/15/2024
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