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General NPI Number Information
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NPI Number | 1508240003
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Entity Type | Individual
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Provider Name | TONEISHA SHERRELL BAKER MSW,LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 175 S RIDGE RD STE 200
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City | MCKINNEY
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State | TX
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Zip | 75072-5104
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Country | US
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Telephone | 469-833-2247
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 PLEASANT GROVE ROAD
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City | JONESBORO
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State | AR
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Zip | 72404
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Country | US
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Telephone | 870-933-6886
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Fax | 870-933-9395
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 54191
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8540-C
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License Number State | AR
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