Individual
MEGHAN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1521B POPLAR ST APT 1R, PHILADELPHIA, PA 19130-1676
(484) 889-7661
Mailing address
1521B POPLAR ST APT 1R, PHILADELPHIA, PA 19130-1676
(484) 889-7661
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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