Individual
ELISABETH BRONWEN BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5725 SPRING PARK RD, JACKSONVILLE, FL 32216-5955
(904) 733-6954
Mailing address
1419 BLACKHAWK TRL E, JACKSONVILLE, FL 32225-2703
(904) 379-9107
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9022
FL
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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