Individual
MS. JULIE LYNN BAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
435 W 4TH ST, WILLIAMSPORT, PA 17701-6001
(570) 322-7873
(570) 322-8026
Mailing address
PO BOX 93, NEW BERLIN, PA 17855-0093
(570) 966-7152
(570) 322-8026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW124091
PA
1041C0700X
Clinical Social Worker
Primary
CW015726
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50070176
CAPITAL BLUE CROSS
PA
Enumeration date
06/09/2006
Last updated
09/21/2007
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