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NPI Code Detail

MEDICARE: MS. SANDRA CAROLINE BAKER CSAC

MEDICARE: MS. SANDRA CAROLINE BAKER CSAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor12129132WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
212129132OTHERWIDEPT OF REGULATION LIC

General Provider Information

NPI Number : 1528247053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA CAROLINE BAKER CSAC
Provider Business Mailing Address
First Line : 2625 N WEIL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-3060
Country : US
Telephone Number : 414-962-1200
Fax Number : 414-962-2305
Provider Business Practice Location Address
First Line : 2625 N WEIL ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53212-3060
Country : US
Telephone Number : 414-962-1200
Fax Number : 414-962-2305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2007
Last Update Date : 08/22/2014

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Directions to “ MS. SANDRA CAROLINE BAKER CSAC” Practice Location

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