URSULA PAULA BAKER

WINSLOW, AZ
NPI1700030962
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-0091)
Enumeration Date2008-11-13
Last Update Date2008-11-13
Business Address
Ms. URSULA PAULA BAKER BS; LISAC
1301 W SECOND ST
WINSLOW, AZ 86047-3005
Phone number: 928-289-2650
Mailing Address
Ms. URSULA PAULA BAKER BS; LISAC
1301 W SECOND ST
WINSLOW, AZ 86047-3005
Phone number: 928-289-2650