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Individual

PATSY TINA BAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCADC

Contact information

Practice address
609 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 887-5691
(270) 890-0130
Mailing address
609 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 887-5691
(270) 890-0130

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
278083
KY

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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