Kathleen M Wood Bacon, LICSW

NPI #1124072996 in Windham, New Hampshire

Provider Information

NPI Number: 1124072996
Entity Type: Individual
Name: Kathleen M Wood Bacon, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: May 19, 2006
Last Updated: Jul 11, 2016

Practice Location

Address: 183 ROCKINGHAM ROAD
City: Windham
State: New Hampshire
ZIP Code: 03087
Phone: (603) 434-9937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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