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1649693599
JEDEDIAH BAKER
YORK, PA
NPI
1649693599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: PA SW130701)
Enumeration Date
2014-01-29
Last Update Date
2014-01-29
Business Address
JEDEDIAH BAKER LSW, CADC
45 WYNTRE BROOKE DR LOWER LEVEL
YORK, PA 17403-4536
Phone number: 610-644-6464
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Mailing Address
JEDEDIAH BAKER LSW, CADC
1440 RUSSELL RD
PAOLI, PA 19301-1236
Phone number: 610-644-6464
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