Individual
DIANE BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.L.P.C.
Contact information
Practice address
5395 TAYLOR LN, CLARKSTON, MI 48346-1746
(248) 625-4793
Mailing address
5395 TAYLOR LN, CLARKSTON, MI 48346-1746
(248) 625-4793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401007497
MI
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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