Carissa Bacon
NPI #1437560679 in West Memphis, Arkansas
Provider Information
- NPI Number
- 1437560679
- Entity Type
- Individual
- Name
- Carissa Bacon
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Enumeration Date
- May 9, 2014
- Last Updated
- Jun 6, 2017
Practice Location
- Address
- 304 N 6TH ST
- City
- West Memphis
- State
- Arkansas
- ZIP Code
- 72301-3221
- Phone
- (870) 732-1878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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