Individual
JENNIFER COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 S STATE ST, DOVER, DE 19901-7314
(302) 674-2380
Mailing address
156 S STATE ST, DOVER, DE 19901-7314
(302) 674-2380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC-0000725
DE
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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