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1871869032
JUSTIN BAKER
VERNON HILLS, IL
NPI
1871869032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2012-03-31
Last Update Date
2012-03-31
Business Address
JUSTIN BAKER
24647 N MILWAUKEE AVE
VERNON HILLS, IL 60061-1567
Phone number: 847-377-7950
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Mailing Address
JUSTIN BAKER
3010 GRAND AVE
WAUKEGAN, IL 60085-2321
Phone number: 847-377-8296
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