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Individual

JESSICA ANNE BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD, LPC

Contact information

Practice address
20700 WATERTOWN RD STE 100, WAUKESHA, WI 53186-1800
(262) 933-4024
(262) 933-4038
Mailing address
313 LAKEVIEW DR APT 3, HARTLAND, WI 53029-1638
(715) 340-7634

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
8221-125
WI
103T00000X
Psychologist
Primary
402057
WI

Other

Enumeration date
07/22/2020
Last updated
10/01/2024
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