Individual
JAIME LEE BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
230 N 1680 E, STE T2, SAINT GEORGE, UT 84790-2573
(435) 652-2114
(435) 652-2132
Mailing address
230 N 1680 E, STE T2, SAINT GEORGE, UT 84790-2573
(435) 652-2114
(435) 652-2132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
361006-3501
UT
1041C0700X
Clinical Social Worker
LCSW-11011
AZ
Other
Enumeration date
05/13/2007
Last updated
09/01/2017
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