Organization
ADOPTION & PSYCHOTHERAPY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA JANE BAKER LICSW (OWNER)
(256) 353-8528
Entity
Organization
Contact information
Practice address
812 KENNILWORTH RD SW, DECATUR, AL 35603-1316
(256) 353-8528
(866) 268-4763
Mailing address
812 KENNILWORTH RD SW, DECATUR, AL 35603-1316
(256) 353-8528
(866) 268-4763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508894940
LLC
AL
Enumeration date
08/23/2022
Last updated
09/12/2022
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