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Organization
LAURA COSTELLO LCPC CORP
Active
Organization
LAURA COSTELLO LCPC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA COSTELLO LCPC (OWNER)
(773) 206-5796
Entity
Organization
Contact information
Practice address
10540 S WESTERN AVE STE 203, CHICAGO, IL 60643-2540
(708) 730-4310
Mailing address
10540 S WESTERN AVE STE 203, CHICAGO, IL 60643-2540
(708) 730-4310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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