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1700158953
LORI BACON
WEST MEMPHIS, AR
NPI
1700158953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2012-02-03
Last Update Date
2016-04-08
Business Address
-- LORI BACON LMSW
410 S AVALON ST
WEST MEMPHIS, AR 72301-4183
Phone number: 870-702-7300
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Mailing Address
-- LORI BACON LMSW
703 CALVIN AVERY DR SUITE A
WEST MEMPHIS, AR 72301-6501
Phone number: 870-732-1878
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