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1770894461
TERESA IONE COSTA
BROOKINGS, OR
NPI
1770894461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 2356)
Enumeration Date
2010-06-28
Last Update Date
2023-09-20
Business Address
Dr. TERESA IONE COSTA PsyD
217 MARINE DR
BROOKINGS, OR 97415-8297
Phone number: 541-412-0700
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Mailing Address
Dr. TERESA IONE COSTA PsyD
PO BOX 7666
BROOKINGS, OR 97415-0349
Phone number: 541-412-0700
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