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Organization
IACOBONI COUNSELING LLC
Active
Organization
IACOBONI COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA IACOBONI LMSW (OWNER)
(586) 596-8074
Entity
Organization
Contact information
Practice address
185 44TH ST SW STE E, GRANDVILLE, MI 49418-3363
(586) 596-8074
Mailing address
185 44TH ST SW STE E, GRANDVILLE, MI 49418-3363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092970
MI
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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