Eboni R Bacon
Eboni R Bacon is a Community Health Worker in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
3300 Pennsylvania Ave SEWashington, DC 20020-2408
Phone: (202) 878-6626
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1265132203 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 8, 2023 |
| Last updated in NPPES | June 7, 2023 |
| Certification date | June 7, 2023 |
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