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Carrie Bacon
NPI 1770032682 · on the registry since 2016
Practice
- Address
- 1114 Benfield Blvd
Millersville, MD 21108 - Phone
- (410) 780-5203
- Fax
- (410) 780-5205
- Organisation at this address
- Thrive Behavioral Health, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 30
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- MD, DC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-10-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland