STEPHANIE RUSSELL BACON

GREENVILLE, NC
NPI1225069305
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: NC  C004627)
Enumeration Date2006-07-06
Last Update Date2007-07-09
Business Address
MRS. STEPHANIE RUSSELL BACON LCSW
223 COMMERCE ST STE D
GREENVILLE, NC 27858-5032
Phone number: 252-830-3925
Mailing Address
MRS. STEPHANIE RUSSELL BACON LCSW
PO BOX 2601
GREENVILLE, NC 27836-0601
Phone number: 252-830-3925
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