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1306567862
TARA COSTA
PHOENIX, AZ
NPI
1306567862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ 10736)
Enumeration Date
2022-09-02
Last Update Date
2022-09-02
Business Address
TARA COSTA LAMFT
3127 W LONE CACTUS DR
PHOENIX, AZ 85027
Phone number: 602-826-6991
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Mailing Address
TARA COSTA LAMFT
3127 W LONE CACTUS DR
PHOENIX, AZ 85027
Phone number: 602-826-6991
Copy
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