MICAH BAKER

ROGERS, AR
NPI1760907091
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist School
(Licence: AR  13-30EI)
Enumeration Date2017-08-08
Last Update Date2018-11-29
Business Address
MR. MICAH BAKER LPE
1601 S RAINBOW RD
ROGERS, AR 72758
Phone number: 479-254-1144
Mailing Address
MR. MICAH BAKER LPE
1601 S RAINBOW RD
ROGERS, AR 72758-8821
Phone number: 479-254-1144