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1861137028
DAWN MARIE COSTA
MODESTO, CA
NPI
1861137028
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA LCSW71613)
Enumeration Date
2022-05-02
Last Update Date
2022-05-02
Business Address
DAWN MARIE COSTA LCSW
615 13TH ST STE B6
MODESTO, CA 95354-2456
Phone number: 209-505-4480
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Mailing Address
DAWN MARIE COSTA LCSW
310 ELISE CT
MODESTO, CA 95350-3111
Phone number: 209-505-4480
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