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1285384057
AUTUMN LYNN BAKER
HISTORIC NEW CASTLE, DE
NPI
1285384057
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Former Name
AUTUMN LYNN BANKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-03-25
Last Update Date
2023-04-28
Business Address
AUTUMN LYNN BAKER
263 QUIGLEY BLVD STE 1A
HISTORIC NEW CASTLE, DE 19720-8112
Phone number: 302-323-9400
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Mailing Address
AUTUMN LYNN BAKER
1251 N OHIO AVE
ATLANTIC CITY, NJ 08401-1825
Phone number:
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