Provider Information for 1063134195
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DEBRA COSENTINO LPC
Other Names:Other Name:DEBBIE COSENTINOGender: Female
NPI: 1063134195
Last Updated: 2023-02-02
Certification Date: 2023-02-02
Certification Date: 2023-02-02
Details
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NPI | 1063134195 | ||||||||
Enumeration Date | 2022-09-15 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 726 CHAPMAN LAKE RD SCOTT TOWNSHIP, PA 18433-7727 United States Phone: 570-807-1378 | Fax: | ||||||||
Primary Practice Address | 1945 LAKEPOINTE DR LEWISVILLE, TX 75057-6469 United States Phone: 888-688-9296 | Fax: | ||||||||
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