Gary Lee Baker, LISW

NPI #1164905709 in Mentor, Ohio

Provider Information

NPI Number: 1164905709
Entity Type: Individual
Name: Gary Lee Baker, LISW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Sep 10, 2018
Last Updated: Oct 15, 2021

Practice Location

Address: 7232 JUSTIN WAY
City: Mentor
State: Ohio
ZIP Code: 44060-4881
Phone: (440) 578-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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