JOHN COSTA

FALL RIVER, MA
NPI1497959993
Professional NameLISA GARCIA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: MA  300569)
Additional Taxonomies101Y00000X Counselor
(Licence: MA  2107)
Enumeration Date2007-06-11
Last Update Date2007-07-08
Business Address
-- JOHN COSTA lsw ladc I cadac II
795 MIDDLE ST
FALL RIVER, MA 02721-1733
Phone number: 150-823-5010
Mailing Address
-- JOHN COSTA lsw ladc I cadac II
PO BOX 79354
NORTH DARTMOUTH, MA 02747-0984
Phone number:
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