JEAN LAROYCE BACON

BAY SHORE, NY
NPI1184846818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  045056-1)
Enumeration Date2007-05-03
Last Update Date2020-04-14
Business Address
Dr. JEAN LAROYCE BACON Ph.D.
83 E MAIN ST
BAY SHORE, NY 11706-8305
Phone number: 631-666-5067
Mailing Address
Dr. JEAN LAROYCE BACON Ph.D.
34 FIRE ROAD DR
BAY SHORE, NY 11706-3947
Phone number: 631-834-0388
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