Individual
BRIDGET MARY IACCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S FRANCISCO AVE, CHICAGO, IL 60612-3618
(773) 440-0410
Mailing address
2609 W BELMONT AVE UNIT 303E, CHICAGO, IL 60618-5942
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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