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1508505462
MEGAN ELISE COSTO
EVANS, GA
NPI
1508505462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA PCET003556)
Enumeration Date
2022-05-31
Last Update Date
2022-05-31
Business Address
MEGAN ELISE COSTO MS, CF-SLP
568 BLUE RIDGE DR
EVANS, GA 30809-3604
Phone number: 678-491-5195
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Mailing Address
MEGAN ELISE COSTO MS, CF-SLP
768 TURNING LEAF CIR APT 768
AUGUSTA, GA 30909-6068
Phone number: 678-491-5195
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