Merland Anthony Baker Jr.
Social Worker, Clinical in Tampa, FL. Individual provider (NPI-1).
NPI number1407628720
StatusActive
Last updated in NPPESOct 30, 2023
Details
- NPI
- 1407628720
- Entity type
- Individual (NPI-1)
- Name
- Mr. Merland Anthony Baker Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2023
- Certification date
- Oct 30, 2023
- Last updated
- Oct 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | ISW19440 | FL | Yes |
Practice location
13926 Flame Wood Ct Apt 202Tampa, FL 33613-4799
Phone 904-472-3208
Mailing address
3452 Live Oak Hollow DrOrange Park, FL 32065-2525
Phone 904-472-3208
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