Individual
MRS. LAUREN MARIE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
23 RODERICK AVE., BEVERLY, MA 01915
(978) 578-8522
(978) 288-0130
Mailing address
151 RANTOUL ST #3217, BEVERLY, MA 01915
(978) 578-6825
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
01/08/2021
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