Individual
MS. DEBRA ANN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
140 PARK ST, ATTLEBORO, MA 02703-3064
(508) 222-7525
Mailing address
PO BOX 698, NORFOLK, MA 02056-0698
(508) 446-0155
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1015383
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309161
—
MA
Enumeration date
02/22/2007
Last updated
07/09/2007
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