SAMUEL BACON

SPOKANE, WA
NPI1821630229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  CG61384091)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-10-17
Last Update Date2022-12-16
Business Address
SAMUEL BACON
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
Mailing Address
SAMUEL BACON
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number:
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