Individual
MS. CHAR ELIZABETH BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2006 HOGBACK RD, SUITE 1, ANN ARBOR, MI 48105-9750
(734) 786-8083
(734) 786-4915
Mailing address
8144 MESTER RD, CHELSEA, MI 48118-9153
(734) 786-8083
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080347
MI
Other
Enumeration date
08/12/2007
Last updated
08/12/2007
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