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1508283979
RODERICK BAKER
LAWRENCEVILLE, GA
NPI
1508283979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: GA 553)
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
-- RODERICK BAKER CADC II
175 GWINNETT DR
LAWRENCEVILLE, GA 30046-8444
Phone number: 678-209-2394
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Mailing Address
-- RODERICK BAKER CADC II
714 GEORGETOWN LN
JONESBORO, GA 30236-8920
Phone number: 678-533-8515
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