Individual
DANIEL ROBERT COSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 FARM RD, PLYMOUTH, MA 02360-2734
(508) 263-0234
Mailing address
19 FARM RD, PLYMOUTH, MA 02360-2734
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8469
MA
Other
Enumeration date
07/21/2011
Last updated
12/22/2022
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