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1457643348
GINA MARIE IACIOFANO
RIVERSIDE, RI
NPI
1457643348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW02121)
Enumeration Date
2011-05-10
Last Update Date
2011-05-10
Business Address
-- GINA MARIE IACIOFANO LICSW
1445 WAMPANOAG TRL SUITE 106
RIVERSIDE, RI 02915-1000
Phone number: 401-437-8844
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Mailing Address
-- GINA MARIE IACIOFANO LICSW
697 WOODWARD RD
NORTH PROVIDENCE, RI 02904-3139
Phone number: 401-497-6500
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