Individual
MR. EDWIN G BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW LADC
Contact information
Practice address
31 LOWER MAIN ST, MORRISVILLE, VT 05661-0919
(802) 888-3600
Mailing address
PO BOX 919, 31 MAIN ST, MORRISVILLE, VT 05661-0919
(802) 888-3600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000014
VT
1041C0700X
Clinical Social Worker
0890000161
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006728
—
VT
Enumeration date
11/09/2006
Last updated
02/26/2008
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