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Tiffany Bacon, LLMSW
NPI 1942754643 · on the registry since 2016
Practice
- Address
- 2351 W 12 Mile Rd
Berkley, MI 48072 - Phone
- (313) 687-3860
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Social Worker
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-08-10
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 Michigan