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1629150628
LYNNE MICHELLE DACOSTA
BANNING, CA
NPI
1629150628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 21205)
Enumeration Date
2006-10-19
Last Update Date
2021-04-14
Business Address
Mrs. LYNNE MICHELLE DACOSTA L.C.S.W.
1627 S HARGRAVE ST
BANNING, CA 92220-6169
Phone number: 951-922-7840
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Mailing Address
Mrs. LYNNE MICHELLE DACOSTA L.C.S.W.
2085 RUSTIN AVE STE 1
RIVERSIDE, CA 92507-2498
Phone number: 951-955-7320
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