Individual
JACQUELINE MARIE BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
714 E MAIN ST STE 1A, MOORESTOWN, NJ 08057-3068
(856) 263-3416
Mailing address
24 LEES AVE STE 7-10, COLLINGSWOOD, NJ 08108-2070
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37AC00734800
NJ
Other
Enumeration date
08/15/2023
Last updated
08/27/2023
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