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1457020810
AGNES BACON
MUSKEGON, MI
NPI
1457020810
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MI 6801100310)
Enumeration Date
2021-09-09
Last Update Date
2023-03-01
Business Address
AGNES BACON LMSW
1440 E SHERMAN BLVD STE 300
MUSKEGON, MI 49444-1816
Phone number: 231-672-2008
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Mailing Address
AGNES BACON LMSW
PO BOX 776982
CHICAGO, IL 60677-6982
Phone number: 231-672-2119
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