GUY J IACONO

BRIELLE, NJ
NPI1598232142
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NJ  44sc05779800)
Enumeration Date2018-10-31
Last Update Date2018-10-31
Business Address
GUY J IACONO LCSW
617 UNION AVE
BRIELLE, NJ 08730-1838
Phone number: 732-977-3374
Mailing Address
GUY J IACONO LCSW
34 APPLE DR
SPRING LAKE, NJ 07762-2178
Phone number: 732-977-3374