Individual
JENNIFER IACOVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C
Contact information
Practice address
68 PAULSBORO RD, WOOLWICH TOWNSHIP, NJ 08085-1364
(856) 214-2811
Mailing address
21 S JACKSON ST, WOODBURY, NJ 08096-5907
(856) 889-8081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37PC00516500
NJ
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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