Gina Marie Iaciofano, LICSW
NPI #1457643348 in Riverside, Rhode Island
Provider Information
- NPI Number
- 1457643348
- Entity Type
- Individual
- Name
- Gina Marie Iaciofano, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 10, 2011
- Last Updated
- May 10, 2011
Practice Location
- Address
- 1445 WAMPANOAG TRL
- Address 2
- SUITE 106
- City
- Riverside
- State
- Rhode Island
- ZIP Code
- 02915-1000
- Phone
- (401) 437-8844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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