Individual
NATALIE E BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
242 HIGHLAND AVE, SOMERVILLE, MA 02143-1420
(267) 269-3012
Mailing address
2055 COLUMBUS AVE APT 403, ROXBURY, MA 02119-4203
(267) 269-3012
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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