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1093305856
LARA JEAN IANNACCONE
ALLENTOWN, PA
NPI
1093305856
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: PA 135501)
Enumeration Date
2021-01-25
Last Update Date
2021-01-25
Business Address
LARA JEAN IANNACCONE
2015 HAMILTON ST STE 203
ALLENTOWN, PA 18104-6471
Phone number: 484-274-6895
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Mailing Address
LARA JEAN IANNACCONE
5803 FRESH MEADOW DR
MACUNGIE, PA 18062-9588
Phone number: 484-357-2105
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