Individual
MS. KATELYN MARY COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
17-07 ROMAINE ST, FAIR LAWN, NJ 07410-2150
(201) 797-2660
Mailing address
18A PERSONETTE ST, CALDWELL, NJ 07006-5113
(973) 919-8100
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
44SC05799500
NJ
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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