Elizabeth "betty" M Baker, LCSW, CADC
Social Worker, Clinical in Rockford, IL. Individual provider (NPI-1).
NPI number1700095221
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700095221
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elizabeth "betty" M Baker
- Credential
- LCSW, CADC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 22, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.011770 | IL | Yes |
Practice location
2036 Colorado Ave5702 Elaine Drive Suite 206
Rockford, IL 61108-6062
Phone 815-519-9906 · Fax 815-397-9827
Mailing address
2036 Colorado Ave5702 Elaine Drive Suite 206
Rockford, IL 61108-6062
Phone 815-519-9906 · Fax 815-397-9827
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