RUSSELL BAKER

POUGHKEEPSIE, NY
NPI1790022127
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2013-01-04
Last Update Date2013-01-04
Business Address
Mr. RUSSELL BAKER CASAC
29 N HAMILTON ST
POUGHKEEPSIE, NY 12601-2541
Phone number: 845-483-5512
Mailing Address
Mr. RUSSELL BAKER CASAC
29 N HAMILTON ST
POUGHKEEPSIE, NY 12601-2541
Phone number: 845-483-5512
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