Individual
ANN BACON SPOONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
851 BOX HILL LN, WAYNE, PA 19087-2704
(215) 514-5226
Mailing address
851 BOX HILL LN, WAYNE, PA 19087-2704
(215) 514-5226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW005863E
PA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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