Individual
VICTORIA E DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4539 N 22ND ST STE A, PHOENIX, AZ 85016-4639
(602) 989-8759
Mailing address
4539 N 22ND ST STE A, PHOENIX, AZ 85016-4639
(602) 989-8759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LMSW-22017
AZ
Other
Enumeration date
02/13/2025
Last updated
02/26/2025
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