Individual
MS. CORY ELIZABETH COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
420 FRUIT HILL AVE, NORTH PROVIDENCE, RI 02911-2626
(401) 353-3900
Mailing address
106 READING ST, FALL RIVER, MA 02720-6222
(781) 686-3088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/06/2010
Last updated
10/17/2013
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