Individual
CATHERINE E COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
652 GEORGE WASHINGTON HWY UNIT 102, LINCOLN, RI 02865-4267
(401) 475-9979
(401) 475-9917
Mailing address
300 TOLL GATE RD STE 101C, WARWICK, RI 02886-4448
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW02987
RI
Other
Enumeration date
09/14/2020
Last updated
03/28/2025
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