Bacon, Lori
Bacon, Lori is an individual health care provider with primary practice located at 410 S Avalon St , West Memphis AR 72301-4183. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Bacon, Lori can be contacted via phone (870) 702-7300.Contact Information
Primary practice address
410 S Avalon St
West Memphis AR 72301-4183
Phone: (870) 702-7300
Fax: (870) 702-7390
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1700158953 |
---|---|
LBN Legal business name | Bacon, Lori |
Credentials | LMSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 3rd, 2012 |
Last updated | Apr 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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