GLEN ILACQUA

PLYMOUTH, MA
NPI1821416058
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-04-04
Last Update Date2014-04-04
Business Address
-- GLEN ILACQUA M.A.
47 WHITE CLIFF DR
PLYMOUTH, MA 02360-8009
Phone number: 781-264-3449
Mailing Address
-- GLEN ILACQUA M.A.
47 WHITE CLIFF DR
PLYMOUTH, MA 02360-8009
Phone number: 781-264-3449