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Kimbra J Baker

Social Worker, Clinical in Oakland, CA. Individual provider (NPI-1).

NPI number1699314740
StatusActive
Last updated in NPPESAug 14, 2024

Details

NPI
1699314740
Entity type
Individual (NPI-1)
Name
Kimbra J Baker
Sex
Female
Sole proprietor
No
Enumeration date
Jan 6, 2020
Certification date
Aug 14, 2024
Last updated
Aug 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes
101YM0800X Counselor, Mental Health––

Practice location

6333 Telegraph Ave
Oakland, CA 94609-1359

Phone 510-923-1099

Mailing address

6333 Telegraph Ave
Oakland, CA 94609-1359

Phone 510-923-1099

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