Individual
DORRIE A. COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13114 PENNYSLVANIA AVENUE, HAGERSTOWN, MD 21742
(240) 313-3310
Mailing address
924 NORTHERN AVE, HAGERSTOWN, MD 21742-2728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0513
MD
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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