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Jessica Costanza
NPI 1457827529 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1840 W Houghton Lake Drive
Unit 2
Prudenville, MI 48629 - Phone
- (989) 202-4900
- Organisation at this address
- Rise Center For Autism
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2018-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan