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1457193229
ALEXANDRA BACON
CHARLOTTE, NC
NPI
1457193229
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC C004026)
Enumeration Date
2024-06-11
Last Update Date
2024-06-11
Business Address
ALEXANDRA BACON LCSW
1412 PROVIDENCE RD
CHARLOTTE, NC 28207-2543
Phone number: 704-714-6981
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Mailing Address
ALEXANDRA BACON LCSW
1412 PROVIDENCE RD
CHARLOTTE, NC 28207-2543
Phone number:
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