Individual
VICTORIA BAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
106 HOLT CT, GREENEVILLE, TN 37743-6917
(423) 218-2130
Mailing address
119 W POPLAR ST, JOHNSON CITY, TN 37604-6855
(423) 218-2130
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
10325
TN
1041C0700X
Clinical Social Worker
Primary
7165
TN
Other
Enumeration date
06/08/2017
Last updated
01/29/2023
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