Individual
TERESA ROSE COSTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12425 KNOLL RD STE 110, ELM GROVE, WI 53122-2656
(262) 470-5811
Mailing address
12425 KNOLL RD STE 110, ELM GROVE, WI 53122-2656
(262) 470-5811
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9142-123
WI
Other
Enumeration date
06/05/2019
Last updated
08/25/2021
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