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Individual

JENNIFER W. BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0001
(304) 696-3641
(304) 696-2986
Mailing address
1 JOHN MARSHALL DR, HUNTINGTON, WV 25755-0001
(304) 696-3641
(304) 696-2986

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1204
WV
235Z00000X
Speech-Language Pathologist
SP-8987
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0094740
OH
05
3810016635
WV
Enumeration date
04/24/2008
Last updated
11/30/2021
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