Benita Marie Baker
Peer Specialist in Detroit, MI. Individual provider (NPI-1).
NPI number1548076144
StatusActive
Last updated in NPPESDec 9, 2024
Details
- NPI
- 1548076144
- Entity type
- Individual (NPI-1)
- Name
- Benita Marie Baker
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2024
- Certification date
- Nov 30, 2024
- Last updated
- Dec 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
707 W Milwaukee StDetroit, MI 48202-2943
Phone 313-984-4444
Mailing address
707 W Milwaukee StDetroit, MI 48202-2943
Phone 313-984-4444
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