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1154458529
MICHELLE CLAIRE COSTA
KENNER, LA
NPI
1154458529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 4469)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
Ms. MICHELLE CLAIRE COSTA LCSW
4113 WILLIAMS BLVD
KENNER, LA 70065-2202
Phone number: 504-464-1021
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Mailing Address
Ms. MICHELLE CLAIRE COSTA LCSW
5721 PARKAIRE DR
METAIRIE, LA 70003-2321
Phone number: 504-220-2525
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