Individual
TIFFANY ANN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MOOCK RD STE 101, WILDER, KY 41071-5465
(859) 341-9333
(606) 328-5153
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(606) 328-5153
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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