Individual
MS. KATHLEEN BRIDGET COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
6651 N OAK TRFY, SUITE 13, GLADSTONE, MO 64118-3332
(816) 453-2233
(816) 453-2266
Mailing address
6651 N OAK TRFY, SUITE 13, GLADSTONE, MO 64118-3332
(816) 453-2233
(816) 453-2266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002099
MO
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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