Individual
MRS. DANIELLE M COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 PLYMOUTH BLVD, WESTPORT, MA 02790-4607
(508) 642-6469
Mailing address
17 PLYMOUTH BLVD, WESTPORT, MA 02790-4607
(508) 642-6469
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111834
MA
Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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