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1639852619
LANA DICOSTANZO
GASTONIA, NC
NPI
1639852619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P019396)
Enumeration Date
2023-08-08
Last Update Date
2023-09-13
Business Address
LANA DICOSTANZO
175 W FRANKLIN BLVD
GASTONIA, NC 28052-4145
Phone number: 704-865-3525
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Mailing Address
LANA DICOSTANZO
503 S YATES ST
GASTONIA, NC 28052-3695
Phone number: 917-881-5108
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