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1578820262
CASEY E. BACON
JOHNSON CITY, TN
NPI
1578820262
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TN 4496)
Enumeration Date
2012-04-18
Last Update Date
2012-04-18
Business Address
Mrs. CASEY E. BACON M.S. CCC-SLP
302 WESLEY ST SUITE 8
JOHNSON CITY, TN 37601-1740
Phone number: 423-282-1700
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Mailing Address
Mrs. CASEY E. BACON M.S. CCC-SLP
302 WESLEY ST SUITE 8
JOHNSON CITY, TN 37601-1740
Phone number: 423-282-1700
Copy
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