JAN GARVER BACON

LAKEWOOD, WA
NPI1457335820
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: WA  PY00001639)
Enumeration Date2005-11-30
Last Update Date2018-04-18
Business Address
Dr. JAN GARVER BACON PhD
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499-2448
Phone number: 253-254-8284
Mailing Address
Dr. JAN GARVER BACON PhD
9125 BRIDGEPORT WAY SW STE 102
LAKEWOOD, WA 98499-2448
Phone number: 253-254-8284
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