Individual
MEGAN MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 471-4066
(401) 277-3385
Mailing address
55 HOPE ST, PROVIDENCE, RI 02906-2001
(401) 471-4066
(401) 277-3385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW03759
RI
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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