TIMOTHY BAKER

EVANSVILLE, IN
NPI1720202120
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-13
Last Update Date2007-07-08
Business Address
-- TIMOTHY BAKER BS
1510 W FRANKLIN ST SUITE A
EVANSVILLE, IN 47710-1032
Phone number: 812-424-0223
Mailing Address
-- TIMOTHY BAKER BS
1500 S GRAND AVE
EVANSVILLE, IN 47713-2651
Phone number: 812-421-0462
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