Lisa Bacon

NPI #1790320430 in Cuba, New York

Provider Information

NPI Number: 1790320430
Entity Type: Individual
Name: Lisa Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Nov 15, 2019
Last Updated: Nov 15, 2019

Practice Location

Address: 36 WATER ST
City: Cuba
State: New York
ZIP Code: 14727-1023
Phone: (585) 968-8600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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