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Individual

ALEX BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2200 FAIRMONT DR, SAN LEANDRO, CA 94578-1003
(510) 667-3000
Mailing address
2200 FAIRMONT DR, SAN LEANDRO, CA 94578-1003
(510) 667-3000

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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