Individual
MS. KELLY MICHELLE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
2319 GOOD HOPE CT SE APT 203, WASHINGTON, DC 20020-3683
(202) 904-5260
Mailing address
2319 GOOD HOPE CT SE APT 203, WASHINGTON, DC 20020-3683
(202) 904-5260
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LG50080904
DC
1041C0700X
Clinical Social Worker
Primary
LC50082186
DC
Other
Enumeration date
01/05/2015
Last updated
03/03/2020
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