Jean Laroyce Bacon is a Clinical Social Worker based in Bay Shore, NY and is specialized in Clinical. Jean Laroyce Bacon practices in Bay Shore, NY and has the professional credentials of PHD. The NPI Number for Jean Laroyce Bacon is 1184846818 and holds a License No. 045056-1 (New York).
The current practice location address for Jean Laroyce Bacon is 83 E Main St, Bay Shore, NY and can be reached out via phone at 631-666-5067 and via fax at 631-593-5472.
Identifier | Type | State | Issuer |
---|---|---|---|
02896748 | 05 | NY | |
A400010901 | 01 | NY | MEDICARE PTAN |
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