Individual
HANNAH M BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
191 BEACHWOOD AVE, AVON LAKE, OH 44012-1408
(440) 654-8957
Mailing address
191 BEACHWOOD AVE, AVON LAKE, OH 44012-1408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
S.1501438
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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