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1710438841
AMBER NICOLE DECOSTA
SAN LEANDRO, CA
NPI
1710438841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-10-24
Last Update Date
2017-04-06
Business Address
-- AMBER NICOLE DECOSTA
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
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Mailing Address
-- AMBER NICOLE DECOSTA
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Copy
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