Jaime Lee Bacon, LCSW Valid NPI

Individual provider · Clinical Social Worker · Saint George, UT

NPI

1376758342

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

361006-3501 (UT)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-05-13

Last updated

2017-09-01