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1598373557
MELISSA ANN COSTA
PAWTUCKET, RI
NPI
1598373557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI CDP00836)
Enumeration Date
2020-07-16
Last Update Date
2024-01-04
Business Address
MELISSA ANN COSTA LCDP
105 BACON ST
PAWTUCKET, RI 02860-5542
Phone number: 401-871-8135
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Mailing Address
MELISSA ANN COSTA LCDP
105 BACON ST
PAWTUCKET, RI 02860-5542
Phone number: 401-871-8135
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