Individual
DR. BERNARD JOSEPH BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
6956 OAK LN, INDIANAPOLIS, IN 46220-1036
(317) 255-5078
Mailing address
6956 OAK LN, INDIANAPOLIS, IN 46220-1036
(317) 255-5078
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34003938A
IN
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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