Individual
TERRY RANDALL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
901 LEHMAN AVE STE 7, BOWLING GREEN, KY 42101-4903
(270) 904-6307
(270) 904-6314
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(419) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
11-32
KY
Other
Enumeration date
12/03/2011
Last updated
06/09/2021
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