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Individual

HEATHER COSTA-MCKANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
34841 VETERANS PLZ, WAYNE, MI 48184-1733
(313) 292-7640
Mailing address
34841 VETERANS PLZ, WAYNE, MI 48184-1733

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
10/25/2016
Last updated
10/25/2016
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