Individual
MR. H GARY BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC
Contact information
Practice address
106 WEST 5TH STREET, OKMULGEE, OK 74447
(918) 756-8856
Mailing address
106 WEST 5TH STREET, OKMULGEE, OK 74447
(918) 756-8856
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2075
OK
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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