RODERICK BAKER

LAWRENCEVILLE, GA
NPI1508283979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA  553)
Enumeration Date2014-03-24
Last Update Date2014-03-24
Business Address
-- RODERICK BAKER CADC II
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
Mailing Address
-- RODERICK BAKER CADC II
714 GEORGETOWN LN
JONESBORO, GA 30236-8920
Phone number: 678-533-8515