Individual
PROF. MARGARET ANN COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, JD, LLP
Contact information
Practice address
17177 NORTH LAUREL PARK; SUITE 131, CRUZ CLINIC, LIVONIA, MI 48152
(734) 462-3210
Mailing address
15601 ESSEX AVE, GROSSE POINTE PARK, MI 48230-1720
(313) 596-9854
(313) 596-9825
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301002741
MI
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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