ANDREA IACONIS

SAN JOSE, CA
NPI1831830298
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: CA  78859)
Enumeration Date2022-04-07
Last Update Date2022-06-12
Business Address
ANDREA IACONIS LCSW
871 ENBORG CT
SAN JOSE, CA 95128-2645
Phone number: 800-704-0900
Mailing Address
ANDREA IACONIS LCSW
751 S BASCOM AVE
SAN JOSE, CA 95128-2604
Phone number: 800-704-0900