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1841702461
DIANE J. DACOSTA
CAPE CORAL, FL
NPI
1841702461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL 16056)
Enumeration Date
2017-11-05
Last Update Date
2021-06-15
Business Address
Ms. DIANE J. DACOSTA LCSW
2489 DIPLOMAT PKWY E
CAPE CORAL, FL 33909-5422
Phone number: 239-910-8941
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Mailing Address
Ms. DIANE J. DACOSTA LCSW
2628 EXECUTIVE DR APT 5311
VENICE, FL 34292-2598
Phone number: 712-422-0156
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