Individual
CHRISTINE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5060 SHOREHAM PL STE 100, SAN DIEGO, CA 92122-5904
(858) 427-5060
(619) 383-6701
Mailing address
4510 EXECUTIVE DR STE 315, SAN DIEGO, CA 92121-3029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/17/2018
Last updated
10/19/2020
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