Individual
DOMINICK COSTANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 OSPREY CT, WEXFORD, PA 15090-2509
(724) 331-4306
Mailing address
306 OSPREY CT, WEXFORD, PA 15090-2509
(724) 331-4306
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004489
PA
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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