CRISTINA M COSTA

RUMFORD, RI
NPI1295138766
Former NameCRISTINA M COSTA-RADO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  220041)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: RI  CSW01757)
1041C0700X Social Worker, Clinical
(Licence: MA  120668)
1041S0200X Social Worker, School
(Licence: RI  70412)
Enumeration Date2014-09-29
Last Update Date2021-01-11
Business Address
CRISTINA M COSTA LICSW
1240 PAWTUCKET AVE STE 3
RUMFORD, RI 02916-1431
Phone number: 401-400-2023
Mailing Address
CRISTINA M COSTA LICSW
PO BOX 41335
PROVIDENCE, RI 02940-1335
Phone number: 401-952-3627