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1215104989
DORRIE A. COSTA
HAGERSTOWN, MD
NPI
1215104989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD AC0513)
Enumeration Date
2008-05-13
Last Update Date
2008-05-13
Business Address
-- DORRIE A. COSTA
13114 PENNYSLVANIA AVENUE
HAGERSTOWN, MD 21742
Phone number: 240-313-3310
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Mailing Address
-- DORRIE A. COSTA
924 NORTHERN AVE
HAGERSTOWN, MD 21742-2728
Phone number:
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