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Individual

ASHLEY LAUREN COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.

Contact information

Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 301-9355
(413) 737-4455
Mailing address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/09/2015
Last updated
07/02/2025
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