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1093083149
RAYMOND COSTA
MATAWAN, NJ
NPI
1093083149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NJ 37PC00394900)
Enumeration Date
2011-12-05
Last Update Date
2011-12-05
Business Address
-- RAYMOND COSTA LPC
4122 ROUTE 516 SUITE C AND D
MATAWAN, NJ 07747-7022
Phone number: 732-679-4500
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Mailing Address
-- RAYMOND COSTA LPC
4122 ROUTE 516 SUITE C AND D
MATAWAN, NJ 07747-7022
Phone number: 732-679-4500
Copy
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