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1255944187
JESSICA AQUILLA BAKER
MACON, GA
NPI
1255944187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006965)
Enumeration Date
2020-08-29
Last Update Date
2022-11-22
Business Address
Ms. JESSICA AQUILLA BAKER LCSW
332 PROVIDENCE BLVD
MACON, GA 31210-9705
Phone number: 478-746-1438
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Mailing Address
Ms. JESSICA AQUILLA BAKER LCSW
332 PROVIDENCE BLVD
MACON, GA 31210-9705
Phone number: 478-746-1438
Copy
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