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1871053967
STACEY M BAKER
LOUISVILLE, KY
NPI
1871053967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: KY 247021)
Enumeration Date
2019-03-23
Last Update Date
2022-08-01
Business Address
STACEY M BAKER
1761 DIXDALE AVE
LOUISVILLE, KY 40210-2217
Phone number: 502-387-7198
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Mailing Address
STACEY M BAKER
PO BOX 16851
LOUISVILLE, KY 40256-0851
Phone number:
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