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1477303485
SHIVONNE COSTA
LATROBE, PA
NPI
1477303485
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Former Name
SHIVONNE KEISER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
SHIVONNE COSTA
1501 LIGONIER ST
LATROBE, PA 15650-2912
Phone number: 724-804-7297
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Mailing Address
SHIVONNE COSTA
1501 LIGONIER ST
LATROBE, PA 15650-2912
Phone number: 724-804-7297
Copy
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