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1881259323
BRENDALIN A BACON
FORT PIERCE, FL
NPI
1881259323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL IMH18275)
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
Ms. BRENDALIN A BACON M.S Mental Health
4713 EL NUEVA AVE
FORT PIERCE, FL 34946-1035
Phone number: 407-256-3718
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Mailing Address
Ms. BRENDALIN A BACON M.S Mental Health
4713 EL NUEVA AVE
FORT PIERCE, FL 34946-1035
Phone number: 407-256-3718
Copy
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