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1841776184
SUSSANNIE LUCYNDA DA COSTA
SAINT MARIES, ID
NPI
1841776184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225C00000X Rehabilitation Counselor
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
SUSSANNIE LUCYNDA DA COSTA M.S., CRC,PSYD (ABD)
1525 MAIN AVE
SAINT MARIES, ID 83861-1216
Phone number: 208-717-1782
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Mailing Address
SUSSANNIE LUCYNDA DA COSTA M.S., CRC,PSYD (ABD)
1525 MAIN AVE
SAINT MARIES, ID 83861-1216
Phone number: 208-717-1782
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