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1003961921
EDWARD JOHN COSTA
FALL RIVER, MA
NPI
1003961921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 1026946)
Enumeration Date
2007-01-23
Last Update Date
2007-07-09
Business Address
Mr. EDWARD JOHN COSTA L.I.C.S.W.
879 N MAIN ST
FALL RIVER, MA 02720-2625
Phone number: 508-672-4237
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Mailing Address
Mr. EDWARD JOHN COSTA L.I.C.S.W.
879 N MAIN ST
FALL RIVER, MA 02720-2625
Phone number: 508-672-4237
Copy
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