Individual
CARLY FORBES BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
50 ADAMS ST, NEWTON, MA 02460-1461
(508) 641-2628
Mailing address
65 HILL ST, BARRE, VT 05641-4204
(508) 641-2628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0890001069
VT
1041C0700X
Clinical Social Worker
Primary
111151
MA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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