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Individual

JEREMY EDWARD BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
44 N POTOMAC ST, HAGERSTOWN, MD 21740-4855
(240) 513-6001
Mailing address
43 E 2ND ST, WAYNESBORO, PA 17268-1639
(520) 210-2412

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26215
MD
104100000X
Social Worker
SW137197
PA

Other

Enumeration date
08/16/2020
Last updated
08/16/2020
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