LORETTA MAE BACON

MONTGOMERY, AL
NPI1003874843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: AL  008)
Enumeration Date2006-05-02
Last Update Date2007-07-08
Business Address
Mrs. LORETTA MAE BACON MS
2200 COTTINGHAM DR
MONTGOMERY, AL 36106-3509
Phone number: 334-272-5245
Mailing Address
Mrs. LORETTA MAE BACON MS
2200 COTTINGHAM DR
MONTGOMERY, AL 36106-3509
Phone number: 334-272-5245