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1578712261
KATHLEEN L. BAKER
PRESCOTT VALLEY, AZ
NPI
1578712261
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-10663)
Enumeration Date
2008-09-17
Last Update Date
2015-10-28
Business Address
-- KATHLEEN L. BAKER
7600 E FLORENTINE RD
PRESCOTT VALLEY, AZ 86314-1295
Phone number: 928-775-7088
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Mailing Address
-- KATHLEEN L. BAKER
3859 E COMANCHE DR
COTTONWOOD, AZ 86326-5706
Phone number: 928-634-2236
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