Individual
MS. ADA MILAGROS COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4500 S LANCASTER RD, DALLAS VA MEDICAL CENTER, MENTAL HEALTH SERVICES, DALLAS, TX 75216-7167
(214) 742-8387
(214) 857-0911
Mailing address
4500 S LANCASTER RD, DALLAS VA MEDICAL CENTER, MENTAL HEALTH SERVICES, DALLAS, TX 75216-7167
(214) 857-0722
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
27658
TX
Other
Enumeration date
05/22/2008
Last updated
06/04/2009
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