Individual
LESLIE ANN BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 FELIX ST, SAINT JOSEPH, MO 64501-2706
(816) 671-4000
Mailing address
925 FELIX ST, SAINT JOSEPH, MO 64501-2706
(816) 671-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020001770
MO
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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