Individual
CHANDA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
30 BOYD AVE, JERSEY CITY, NJ 07304-1406
(316) 250-8735
Mailing address
30 BOYD AVE, JERSEY CITY, NJ 07304-1406
(316) 250-8735
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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