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1316622046
LIAM ROBERT COSTA
PASADENA, CA
NPI
1316622046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 116048)
Enumeration Date
2023-06-20
Last Update Date
2023-06-29
Business Address
LIAM ROBERT COSTA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
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Mailing Address
LIAM ROBERT COSTA
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-543-2800
Copy
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