DORRIE A. COSTA

HAGERSTOWN, MD
NPI1215104989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  AC0513)
Enumeration Date2008-05-13
Last Update Date2008-05-13
Business Address
-- DORRIE A. COSTA
13114 PENNYSLVANIA AVENUE
HAGERSTOWN, MD 21742
Phone number: 240-313-3310
Mailing Address
-- DORRIE A. COSTA
924 NORTHERN AVE
HAGERSTOWN, MD 21742-2728
Phone number: