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Individual

WILLIAM COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MHRT-CSP

Contact information

Practice address
14 STEVES LN, MARSHFIELD, ME 04654-5045
(207) 255-0995
(207) 255-8748
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/14/2010
Last updated
02/02/2021
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