Provider Information for 1861543894
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
STEPHANIE SLIGO-BAKER M.S.W
Sex: Female
NPI: 1861543894
Last Updated: 2017-01-05
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1861543894 | ||||||||
| Enumeration Date | 2007-01-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6860 SHINGLE CREEK PKWY SUITE 116 BROOKLYN CENTER, MN 55430 United States Phone: 763-560-4860 | Fax:763-503-1430 | ||||||||
| Primary Practice Address | 2105 WEST 143RD STREET #B BURNSVILLE, MN 55306-8000 United States Phone: 952-303-6832 | Fax:952-303-3434 | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|