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Individual

DR. BONNIE S BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD ACSW

Contact information

Practice address
1528 W AUGUSTA AVE, SPOKANE, WA 99205-4254
(509) 455-9888
(509) 448-2057
Mailing address
PO BOX 37, MARSHALL, WA 99020-0037
(509) 455-9888
(509) 448-2057

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00006792
WA
1041C0700X
Clinical Social Worker
Primary
LW00005482
WA

Other

Enumeration date
03/13/2007
Last updated
01/21/2010
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