Individual
MRS. TERESA MARIE GRIDER-BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2309 C ST SW, CEDAR RAPIDS, IA 52404-3707
(319) 365-9164
(319) 368-3358
Mailing address
760 PROSPECT CT, NORTH LIBERTY, IA 52317-9128
(319) 365-9164
(319) 368-3358
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05819
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246645
MIDLAND'S CHOICE
IA
01
—
38246
WELLMARK
IA
Enumeration date
12/19/2006
Last updated
07/08/2007
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