Kimberly Bacon
Kimberly Bacon is a Clinical Social Worker in Oceanside, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
401 Wilshire RdOceanside, CA 92057-2904
Phone: (858) 442-1463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 111508 (CA) |
|---|
Record details
| NPI number | 1972382943 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 27, 2023 |
| Last updated in NPPES | September 27, 2023 |
| Certification date | September 27, 2023 |
| Mailing address | 401 Wilshire Rd, Oceanside, CA 92057-2904 |
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