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Individual

MARCIO JOSE ARAUJO COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1500 JFK BLVD, PHILADELPHIA, PA 19102-1710
(267) 934-9986
Mailing address
1342 S RINGGOLD ST, PHILADELPHIA, PA 19146-4017
(267) 934-9986

Taxonomy

Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary

Other

Enumeration date
04/01/2024
Last updated
04/01/2024
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