Individual
EARL BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8532 W CAPITOL DR STE 201, MILWAUKEE, WI 53222-1850
(414) 550-5893
Mailing address
8911 N 70TH ST, MILWAUKEE, WI 53223-2111
(414) 550-5893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/02/2018
Last updated
11/19/2018
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