Provider Information for 1669224051
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Mrs. ANDREA KENNEDY BAKER LMHC
Sex: Female
NPI: 1669224051
Last Updated: 2024-04-01
Certification Date: 2024-04-01
Certification Date: 2024-04-01
Details
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NPI | 1669224051 | ||||||||
Enumeration Date | 2024-04-01 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 83 W MILLER ST ORLANDO, FL 32806-2031 United States Phone: 407-312-4483 | Fax: | ||||||||
Primary Practice Address | 83 W MILLER ST ORLANDO, FL 32806-2031 United States Phone: 407-312-4483 | Fax: | ||||||||
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