Individual
KARRAH ANN COSTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3646 MOUNT ELLIOTT ST, DETROIT, MI 48207-2311
(313) 267-9600
(313) 924-0605
Mailing address
3646 MOUNT ELLIOTT ST, DETROIT, MI 48207-2311
(313) 267-9600
(313) 924-0605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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