Individual
MR. GORDON BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1855 ALBANY AVE, WEST HARTFORD, CT 06117-1702
(860) 881-1948
Mailing address
78 RHODES ST APT 2, NEW BRITAIN, CT 06051-2420
(860) 881-6956
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1717
CT
Other
Enumeration date
03/06/2015
Last updated
03/06/2015
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