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1639819022
ANITA BACON
WINSTON SALEM, NC
NPI
1639819022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-04-01
Last Update Date
2022-04-01
Business Address
ANITA BACON CADC
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103-4127
Phone number: 336-842-6980
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Mailing Address
ANITA BACON CADC
1617 S HAWTHORNE RD
WINSTON SALEM, NC 27103-4127
Phone number: 336-842-6980
Copy
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