Individual
ALYSSA BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2851
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101419-01
NY
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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