Individual
MRS. AMY MARIE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1 VETERANS DR, 4K-TBI, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
(612) 467-2144
Mailing address
5007 WESTMILL RD, MINNETONKA, MN 55345-3341
(952) 938-1462
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8419
MN
1041C0700X
Clinical Social Worker
Primary
8419
MN
Other
Enumeration date
08/05/2006
Last updated
02/26/2026
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