Barbara M. Bacon LISW-S

NPI 1235486283 - Social Worker - 1041C0700X

NPI Details
NPI 1235486283
Gender Female
Enumeration Date 08/09/2012
Last Updated 08/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3591 RESERVE COMMONS DR
SUITE 301
MEDINA OH, 44256-5334, US
Phone (330) 764-7916
Fax (330) 723-6399
Business Location
3591 RESERVE COMMONS DR
SUITE 301
MEDINA OH, 44256-5334, US
Phone (330) 764-7916
Fax (330) 723-6399
Toxanomy
Taxonomy Code 1041C0700X
License State Ohio
License Number 0007356-S
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According to our database, Barbara M. Bacon LISW-S NPI is 1235486283, taxonomy code is 1041C0700X and license number is 0007356-S, license state is located at Ohio. Barbara M. Bacon LISW-S physically located at 3591 Reserve Commons Dr, Medina OH, 44256-5334. NPI Number Barbara M. Bacon LISW-S has the Individual type.

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1235486283 NPI number is provided on an as is basis without warranty of any kind. 1235486283 is maintained by the National Plan & Provider Enumeration System. The contents of Barbara M. Bacon LISW-S are for informational purposes only.