DANIEL L BAKER

WEST BEND, WI
NPI1326374794
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  15794-130)
Enumeration Date2009-10-20
Last Update Date2009-10-20
Business Address
-- DANIEL L BAKER SAC-IT
1622 CHESTNUT ST
WEST BEND, WI 53095-3014
Phone number: 262-338-9498
Mailing Address
-- DANIEL L BAKER SAC-IT
285 N JANACEK RD
BROOKFIELD, WI 53045-6102
Phone number: 262-641-9050
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