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Individual
JENNIFER COSTELLO-SIRI
Active
Individual
JENNIFER COSTELLO-SIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081170
NY
252Y00000X
Early Intervention Provider Agency
076568-1
NY
Other
Enumeration date
12/17/2008
Last updated
10/25/2024
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