Individual
RICCI BROOKE PECK COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
55 HAMILTON RD, CHAMBERSBURG, PA 17201-8656
(717) 261-1218
(717) 263-6571
Mailing address
200 N 7TH ST, LEBANON, PA 17046-5040
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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