Ginamarie Pamela Iannone
Social Worker, Clinical in Indian Harbour Beach, FL. Individual provider (NPI-1).
NPI number1841996352
StatusActive
Last updated in NPPESFeb 26, 2023
Details
- NPI
- 1841996352
- Entity type
- Individual (NPI-1)
- Name
- Ginamarie Pamela Iannone
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Feb 26, 2023
- Last updated
- Feb 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW20237 | FL | Yes |
Practice location
2060 Highway A1a Ste 304Indian Harbour Beach, FL 32937-3596
Phone 321-574-6073
Mailing address
120 Brixton LnSatellite Beach, FL 32937-2104
Phone 585-615-0012
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