| Jean M Baker | |
|
3 Fountain St Ste 201 Clinton NY 13323-1747 | |
| (315) 292-4834 | |
| (315) 266-1366 |
| Full Name | Jean M Baker |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3 Fountain St Ste 201, Clinton, New York |
| Authorized Official Name and Position | Jean M Baker (MANAGER/PRACTITIONER) |
| Authorized Official Contact | 3152924834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean M Baker 3 Fountain St Ste 201 Clinton NY 13323-1747 Ph: (315) 292-4834 | Jean M Baker 3 Fountain St Ste 201 Clinton NY 13323-1747 Ph: (315) 292-4834 |
| NPI Number | 1285122432 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285122432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R058181 (New York) | Primary |
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