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1174396238
STEPHANIE COSTA
WANTAGH, NY
NPI
1174396238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 112058-01)
Enumeration Date
2023-11-01
Last Update Date
2023-11-01
Business Address
STEPHANIE COSTA LMSW
2542 WANTAGH AVE
WANTAGH, NY 11793-4440
Phone number: 516-413-5949
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Mailing Address
STEPHANIE COSTA LMSW
2542 WANTAGH AVE
WANTAGH, NY 11793-4440
Phone number: 516-413-5949
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