Individual
MRS. DANA MARGARET BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, MSW
Contact information
Practice address
5265 VANCE ST, ARVADA, CO 80002-3717
(720) 934-6163
Mailing address
12278 KITTREDGE ST, BRIGHTON, CO 80603-6935
(720) 934-6163
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
175
CO
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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