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1508366808
JESSE ABRAHAM BAKER
MADISON, WI
NPI
1508366808
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WI 3916-226)
Enumeration Date
2018-02-14
Last Update Date
2020-04-30
Business Address
JESSE ABRAHAM BAKER MS, LPC-IT
5555 ODANA RD STE 202
MADISON, WI 53719-1280
Phone number: 608-443-8828
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Mailing Address
JESSE ABRAHAM BAKER MS, LPC-IT
5555 ODANA RD STE 202
MADISON, WI 53719-1280
Phone number: 608-443-8828
Copy
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