JESSIE A BACON

FORT HALL, ID
NPI1750507604
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: ID  LCSW-32218)
Enumeration Date2007-04-18
Last Update Date2024-03-18
Business Address
JESSIE A BACON LCSW
MISSION ROAD BLDING 248 FORT HALL INDIAN AGENCY
FORT HALL, ID 83203
Phone number: 208-237-5631
Mailing Address
JESSIE A BACON LCSW
1068 E RESERVATION RICH LN
BLACKFOOT, ID 83221-7052
Phone number: 208-681-6980
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