Individual
TARA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N WALNUT AVE STE C, MANSFIELD, AR 72944-3522
(479) 269-5782
(479) 259-9091
Mailing address
PO BOX 232, MANSFIELD, AR 72944-0232
(479) 739-5366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2018
Last updated
04/10/2020
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