STACY BACON

SEATTLE, WA
NPI1770140998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60251849)
Enumeration Date2019-05-22
Last Update Date2021-12-30
Business Address
STACY BACON
1701 18TH AVE S
SEATTLE, WA 98144-4317
Phone number: 253-833-7444
Mailing Address
STACY BACON
1412 140TH PL NE
BELLEVUE, WA 98007-3915
Phone number: 209-733-0708
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