Female

Madeline Bacon

Social Worker in Burlington, VT(View on Map)

Full Name

Madeline Bacon

NPI Number

1922633809

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/11/2020

Specialties

(Taxonomies)

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Vermont

License Number

1560133892

Contact
Information

Purpose

Mailing
Location

Address

76 GLEN RD
76 GLEN RD

City

Burlington
Burlington

State

VT
VT

Postal Code

05401-4131
05401-4131

Country

US
US

Telephone Number

N/A
(802) 861-2594

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/11/2020

Provider Address

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