BRENT TYLER BAKER

CORBIN, KY
NPI1356759187
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-07-24
Last Update Date2014-08-13
Business Address
-- BRENT TYLER BAKER BA
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
Mailing Address
-- BRENT TYLER BAKER BA
PO BOX 568
CORBIN, KY 40702-0568
Phone number: 606-528-7010
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