JOHN A. BACON

CORVALLIS, OR
NPI1992796486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  LCSW #975)
Enumeration Date2005-11-02
Last Update Date2007-07-08
Business Address
Mr. JOHN A. BACON LCSW
525 SW 6TH ST
CORVALLIS, OR 97333-4323
Phone number: 541-752-0834
Mailing Address
Mr. JOHN A. BACON LCSW
525 SW 6TH ST
CORVALLIS, OR 97333-4323
Phone number: 541-752-0834
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