Gina M. Iaciofano, LLC
NPI #1437417839 in North Providence, Rhode Island
Provider Information
- NPI Number
- 1437417839
- Entity Type
- Organization
- Organization Name
- Gina M. Iaciofano, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 24, 2012
- Last Updated
- Apr 24, 2012
Practice Location
- Address
- 1920 MINERAL SPRING AVE
- Address 2
- UNIT 9
- City
- North Providence
- State
- Rhode Island
- ZIP Code
- 02904-3742
- Phone
- (401) 497-6500
Authorized Official
- Name
- GINA M IACIOFANO, LICSW
- Title
- CLINICAL SOCIAL WORKER
- Phone
- (401) 497-6500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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