Individual
MARSHALL BAKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3920 BAMBERG LN, FORT WORTH, TX 76244-6048
(682) 233-5893
Mailing address
3920 BAMBERG LN, FORT WORTH, TX 76244-6048
(682) 223-5893
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
205344
TX
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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