LISA ANNE DA COSTA

LYNNWOOD, WA
NPI1720625361
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-03
Last Update Date2019-12-03
Business Address
LISA ANNE DA COSTA SUDPT
20508 56TH AVE W
LYNNWOOD, WA 98036-7650
Phone number: 425-678-1390
Mailing Address
LISA ANNE DA COSTA SUDPT
15914 44TH AVE W APT K304
LYNNWOOD, WA 98087-8929
Phone number: 206-931-8973
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