Angela Iacoboni, LLMSW

NPI #1124491055 in Jenison, Michigan

Provider Information

NPI Number: 1124491055
Entity Type: Individual
Name: Angela Iacoboni, LLMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LLMSW
Enumeration Date: Oct 30, 2015
Last Updated: Oct 30, 2015

Practice Location

Address: 1836 BALDWIN ST
City: Jenison
State: Michigan
ZIP Code: 49428-8901
Phone: (616) 457-0016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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