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1851934764
MICAELA JAYNE BAKER
SHELTON, WA
NPI
1851934764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-10-23
Last Update Date
2019-10-23
Business Address
MICAELA JAYNE BAKER
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 503-348-3767
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Mailing Address
MICAELA JAYNE BAKER
307 W COTA ST
SHELTON, WA 98584-2265
Phone number:
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