Individual
MISS ELLEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 898-0123
Mailing address
1965 FOREST DR, CAMDEN, SC 29020-2021
(803) 420-4197
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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