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Organization
MATTIE COSTILL LLC
Active
Organization
MATTIE COSTILL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MATTIE LEE COSTILL LPCMH (PROFESSIONAL MENTAL HEALTH COUNSELO)
(610) 675-6380
Entity
Organization
Contact information
Practice address
1030 WARREN RD, WEST CHESTER, PA 19382-5755
(610) 675-6380
Mailing address
1030 WARREN RD, WEST CHESTER, PA 19382-5755
(610) 675-6380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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