ALYSSA BACON

MENOMONEE FALLS, WI
NPI1225717945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WI  134382-121)
Additional Taxonomies104100000X Social Worker
(Licence: WI  134382-121)
Enumeration Date2023-07-12
Last Update Date2023-07-12
Business Address
ALYSSA BACON
N91W17194 APPLETON AVE STE 204
MENOMONEE FALLS, WI 53051-2083
Phone number: 414-502-7780
Mailing Address
ALYSSA BACON
1701 W BOLIVAR AVE
MILWAUKEE, WI 53221-2333
Phone number: 727-514-2461