DONNA TYESE BACON

AMITYVILLE, NY
NPI1821368077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  070446)
Enumeration Date2012-01-05
Last Update Date2012-01-05
Business Address
Dr. DONNA TYESE BACON Ed.D, LCSW, MSW, CT
15 HARRISON AVE #1A
AMITYVILLE, NY 11701-2426
Phone number: 516-884-4802
Mailing Address
Dr. DONNA TYESE BACON Ed.D, LCSW, MSW, CT
15 HARRISON AVE #1A
AMITYVILLE, NY 11701-2426
Phone number: 516-572-7528
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