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1952699142
DANIEL ROBERT COSTIN
PLYMOUTH, MA
NPI
1952699142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: MA 8469)
Enumeration Date
2011-07-21
Last Update Date
2022-12-22
Business Address
DANIEL ROBERT COSTIN
19 FARM RD
PLYMOUTH, MA 02360-2734
Phone number: 508-263-0234
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Mailing Address
DANIEL ROBERT COSTIN
19 FARM RD
PLYMOUTH, MA 02360-2734
Phone number:
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