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1699203414
CHARLES BAKER
GRAND RAPIDS, MI
NPI
1699203414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801100945)
Enumeration Date
2017-05-24
Last Update Date
2017-05-24
Business Address
CHARLES BAKER LMSW
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 651-940-0040
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Mailing Address
CHARLES BAKER LMSW
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number:
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