Individual
ANGELA IACOBONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLMSW
Contact information
Practice address
1836 BALDWIN ST, JENISON, MI 49428-8901
(616) 457-0016
Mailing address
6915 BREWER AVE NE, ROCKFORD, MI 49341-9213
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801092970
MI
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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