Kimberly Bacon, LMSW

NPI #1205039542 in Pomona, New York

Provider Information

NPI Number: 1205039542
Entity Type: Individual
Name: Kimberly Bacon, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Jun 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 50 SANITORIUM RD
Address 2: BLDG F - ROOM 240
City: Pomona
State: New York
ZIP Code: 10970-3555
Phone: (845) 364-2275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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