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Individual
STEPHANIE D'COSTA
Active
Individual
STEPHANIE D'COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10855
NE
103T00000X
Psychologist
Primary
30308
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2016
Last updated
09/17/2018
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