June L Bacon

NPI #1114761095 in Wheatland, Wyoming

Provider Information

NPI Number
1114761095
Entity Type
Individual
Name
June L Bacon
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community/Behavioral Health
Enumeration Date
Jun 24, 2024
Last Updated
Jun 24, 2024

Practice Location

Address
1055 SOUTH ST
State
Wyoming
ZIP Code
82201-2949
Phone
(970) 590-3640

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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