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1831811397
KRISTOPHER W. R BAKER
TYLER, TX
NPI
1831811397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 12645)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
KRISTOPHER W. R BAKER LCDC
1510 S VINE AVE
TYLER, TX 75701-2826
Phone number: 903-526-4055
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Mailing Address
KRISTOPHER W. R BAKER LCDC
220 PRIVATE ROAD 8179
EDOM, TX 75754-5268
Phone number: 903-519-6858
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