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1043943558
CANAAN BAKER
DALLAS, TX
NPI
1043943558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 15754)
Enumeration Date
2022-07-03
Last Update Date
2022-07-03
Business Address
CANAAN BAKER MA, LCDC
4600 GREENVILLE AVE STE 252
DALLAS, TX 75206-5037
Phone number: 214-618-8402
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Mailing Address
CANAAN BAKER MA, LCDC
9900 ADLETA BLVD APT 2012
DALLAS, TX 75243-9263
Phone number: 904-422-7752
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