Individual
MRS. GRACE ELIZABETH IACUONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
4600 LOCKHILL SELMA RD STE 101, SAN ANTONIO, TX 78249-2186
(214) 532-3505
Mailing address
414 COUNTRY WOOD DR, SAN ANTONIO, TX 78216-1612
(214) 532-3505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
62105
TX
Other
Enumeration date
02/21/2013
Last updated
02/21/2013
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