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Individual
STEPHANIE COSTA
Active
Individual
STEPHANIE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
112058-01
NY
1041C0700X
Clinical Social Worker
Primary
102192
NY
Other
Enumeration date
11/01/2023
Last updated
03/08/2026
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