MATTHEW MARCOS BACCA

FORT DRUM, NY
NPI1538825922
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CO  lsw.009924321)
Enumeration Date2021-11-10
Last Update Date2023-02-09
Business Address
MATTHEW MARCOS BACCA LSW
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 719-634-8365
Mailing Address
MATTHEW MARCOS BACCA LSW
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 315-772-6976
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