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1457962748
TRACEY C BAKER
MINNEAPOLIS, MN
NPI
1457962748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305547)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
TRACEY C BAKER MA, LADC
2518 1ST AVE S
MINNEAPOLIS, MN 55404-4317
Phone number: 651-359-2074
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Mailing Address
TRACEY C BAKER MA, LADC
2518 1ST AVE S
MINNEAPOLIS, MN 55404-4317
Phone number: 651-359-2074
Copy
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