BREANNA L BACON

LAFAYETTE, IN
NPI1649576497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IN  46002126A)
Enumeration Date2011-01-26
Last Update Date2014-07-07
Business Address
-- BREANNA L BACON MS CCC-SLP
80 PROFESSIONAL CT
LAFAYETTE, IN 47905-5152
Phone number: 765-448-1758
Mailing Address
-- BREANNA L BACON MS CCC-SLP
80 PROFESSIONAL CT
LAFAYETTE, IN 47905-5152
Phone number: 765-448-1758
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