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1245702562
NOELLE MARIE COSTA
MODESTO, CA
NPI
1245702562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: 114790)
Enumeration Date
2018-12-27
Last Update Date
2023-07-13
Business Address
NOELLE MARIE COSTA
800 SCENIC DR
MODESTO, CA 95350-6131
Phone number: 209-552-2774
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Mailing Address
NOELLE MARIE COSTA
2934 N FRESNO ST
FRESNO, CA 93703-1123
Phone number: 559-558-4051
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