MS. Donna R. Bacon, LCSW

NPI #1801872387 in Jber, Alaska

Provider Information

NPI Number
1801872387
Entity Type
Individual
Name
MS. Donna R. Bacon, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Dec 16, 2005
Last Updated
Nov 19, 2013

Practice Location

Address
5955 ZEAMER AVENUE
Address 2
673D MDG
City
Jber
State
Alaska
ZIP Code
99506
Phone
(907) 580-8094

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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