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1073169918
SHANNON LEE COSTA
BEDFORD, MA
NPI
1073169918
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
SHANNON LEE COSTA MS, LMHC
205 BURLINGTON RD
BEDFORD, MA 01730-1406
Phone number: 781-761-5155
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Mailing Address
SHANNON LEE COSTA MS, LMHC
205 BURLINGTON RD
BEDFORD, MA 01730-1406
Phone number: 781-761-5155
Copy
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