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1700030962
URSULA PAULA BAKER
WINSLOW, AZ
NPI
1700030962
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Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ LISAC-0091)
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
Ms. URSULA PAULA BAKER BS; LISAC
1301 W SECOND ST
WINSLOW, AZ 86047-3005
Phone number: 928-289-2650
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Mailing Address
Ms. URSULA PAULA BAKER BS; LISAC
1301 W SECOND ST
WINSLOW, AZ 86047-3005
Phone number: 928-289-2650
Copy
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