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1174157325
DEITRA BAKER
FORT WORTH, TX
NPI
1174157325
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: TX 203614)
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
DEITRA BAKER LMFT
9800 HILLWOOD PKWY
FORT WORTH, TX 76177-1527
Phone number: 817-617-7363
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Mailing Address
DEITRA BAKER LMFT
10016 SHELBURNE RD
FORT WORTH, TX 76244-8524
Phone number: 404-217-9619
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