Individual
MR. FRANK DICOSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
10828 GRAVELLY LAKE DR SW STE 204, LAKEWOOD, WA 98499-1346
(153) 473-7474
(253) 474-9724
Mailing address
18130 LISA LN SE, YELM, WA 98597-8597
(253) 576-3430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SA 60150521
WA
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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