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1053198051
THOMAS COSTA
ANAHEIM, CA
NPI
1053198051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 140747)
Enumeration Date
2023-09-12
Last Update Date
2023-09-12
Business Address
THOMAS COSTA
101 E LINCOLN AVE STE 23092805
ANAHEIM, CA 92805-3202
Phone number: 213-505-4307
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Mailing Address
THOMAS COSTA
PO BOX 83
LONG BEACH, CA 90801-0083
Phone number: 213-215-5916
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