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1295382737
ANTHONY M COSTAGLIOLA
PROVIDENCE, RI
NPI
1295382737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: RI ISW02830)
Enumeration Date
2019-08-20
Last Update Date
2019-08-20
Business Address
Mr. ANTHONY M COSTAGLIOLA LICSW
1 RICHMOND SQ STE 333W
PROVIDENCE, RI 02906-5156
Phone number: 401-227-0372
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Mailing Address
Mr. ANTHONY M COSTAGLIOLA LICSW
95 HOPE ST APT 2
PROVIDENCE, RI 02906-2049
Phone number: 516-672-4752
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