Individual
MS. ELIZABETHER GENE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 596-9222
(781) 581-9876
Mailing address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 596-9222
(781) 581-9876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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