Individual
MS. CARENDA DIANE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
960 CENTURY DR, MECHANICSBURG, PA 17055-4374
(717) 795-0330
(717) 795-0407
Mailing address
4768 BRIAN RD, MECHANICSBURG, PA 17050-3087
(717) 795-0330
(717) 795-0407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW-010009-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50045994
CAPITAL BLUE CROSS
PA
Enumeration date
06/28/2006
Last updated
07/08/2007
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