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1497267470
TRACIE LYNN BAKER
COEUR D ALENE, ID
NPI
1497267470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LMSW-37093)
Enumeration Date
2017-10-30
Last Update Date
2017-10-30
Business Address
Mrs. TRACIE LYNN BAKER LMSW
7905 N MEADOWLARK WAY STE B
COEUR D ALENE, ID 83815-5041
Phone number: 208-772-3116
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Mailing Address
Mrs. TRACIE LYNN BAKER LMSW
15254 N STEVENS ST
RATHDRUM, ID 83858-5056
Phone number: 208-610-8672
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