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1285260547
TANYA IACONO
BRANFORD, CT
NPI
1285260547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 007761)
Enumeration Date
2020-03-19
Last Update Date
2020-03-19
Business Address
TANYA IACONO LCSW
705 ROBERT FROST DR
BRANFORD, CT 06405-5838
Phone number: 203-843-7716
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Mailing Address
TANYA IACONO LCSW
705 ROBERT FROST DR
BRANFORD, CT 06405-5838
Phone number: 203-843-7716
Copy
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